Active NPI
Alan David Gross
- Audiologist
- Summit, NJ
National Provider Identifier
1649445636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 41YA00057100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YA00057100 | NJ | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Scharf Conte Bastianelli PA | Current | Accepting new patients | |
| Speech & Hearing Associates LLC | Audiologist | Past | 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.
-
- Facial Plastic Surgery Physician
- Roselle Park, NJ
- NPI 1972549780
-
- Audiologist
- Westfield, NJ
- NPI 1134129067
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.