Active NPI
Steven Grossman, MD, FACC
- Cardiovascular Disease Physician
- Fair Lawn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA04019200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0893901 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Health Care of New Jersey,LLC | Cardiovascular Disease | Current | Accepting new patients |
| North Jersey Ekg Reading Group LLC | Cardiovascular Disease | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| St. Josephs Physicians Healthcare Group Inc | Cardiovascular Disease | Current | 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
- 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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Cardiovascular Disease Physician
- Paterson, NJ
- NPI 1578642153
-
- Cardiovascular Disease Physician
- Paterson, NJ
- NPI 1033410907
-
- Multi-Specialty Clinic/Center
- Fair Lawn, NJ
- NPI 1962712471
Cardiovascular Disease
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
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.