Individual provider Active NPI

Alan David Gross

  • Audiologist
  • Summit, NJ
National Provider Identifier
1649445636
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
41YA00057100 Issued in NJ
Practice address
18 North St
Summit, NJ 07901-3982
Phone
(973) 641-1901
NPI assigned
Apr 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 41YA00057100 NJ Primary
Hearing Instrument Specialist 237700000X 41YA00057100 NJ

Addresses

Primary practice location

18 North St
Summit, NJ 07901-3982

Mailing address

18 North St
Summit, NJ 07901-3982
Phone (973) 641-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000635 NJ Practitioner - Qualified Audiologist 7618873183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Scharf Conte Bastianelli PAGroup PAC ID 5092799452, 4 clinicians

Practice addresses (Care Compare)

505 Chestnut St
Roselle Park, NJ 07204-1918
Phone (908) 241-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YA00057100NJMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Scharf Conte Bastianelli PA CurrentSince Aug 1, 2008 Accepting new patients
Speech & Hearing Associates LLC Audiologist PastSince Jul 1, 2008 Accepting new patients

Locations

505 Chestnut St
Roselle Park, NJ 07204
Phone (908) 241-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1649445636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NORTH ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013982",
            "telephone_number": "973-641-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NORTH ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013982",
            "telephone_number": "973-641-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00057100",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NJ",
            "license": "41YA00057100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.