Individual provider Active NPI

Steven Grossman, MD, FACC

  • Cardiovascular Disease Physician
  • Fair Lawn, NJ
National Provider Identifier
1710991401
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04019200 Issued in NJ
Practice address
22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone
(201) 475-5050
Fax
(201) 475-5522
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA04019200 NJ Primary

Addresses

Primary practice location

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016

Mailing address

22-18 Broadway
Suite 201
Fair Lawn, NJ 07410-3016
Phone (201) 475-5050

Other identifiers 1

IdentifierTypeStateIssuer
0893901MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000243 NJ Practitioner - Cardiovascular Disease (Cardiology) 2264428606 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Care of New Jersey,LLC Cardiovascular Disease Current Accepting new patients
North Jersey Ekg Reading Group LLC Cardiovascular Disease CurrentSince Aug 19, 2002 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jul 30, 2016 Accepting new patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
St. Joseph's Healthcare, Inc. Past Accepting new patients

Locations

22-18 Broadway
Ste 201
Fair Lawn, NJ 07410

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900

183 Illinois Ave
Paterson, NJ 07503
Phone (973) 523-3400

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1225 McBride Ave
Ste 201
Woodland Park, NJ 07424
Phone (973) 256-5557

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

Interoperability endpoints

  • Direct secure messaging: sgrossman236536@direct.englewoodhealth.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1710991401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-475-5050",
            "fax_number": "201-475-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "STEVEN",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04019200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.