Jason M. Grossman, D.P.M.
Individual provider Active NPI Podiatrist · Old Bridge, NJ
NPI 1720079239 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1720079239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 25MD00288400 (NJ)
- Practice address
- 99 Old Matawan Rd.
Old Bridge, NJ 08857-1427 - Phone
- (732) 679-4330
- Fax
- (732) 679-4777
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Jersey Podiatric Physicians and Surgeons Group, LLC
Practice addresses (Care Compare)
4249 Route 9 N
Unit B Advanced Feet and Ankle Care PC
Freehold, NJ 07728-8308
Phone (732) 679-4330
7 Chase Rd
Lumberton, NJ 08048-6203
Phone (856) 764-4400
85 S Jefferson St
Suite 2 Morris Podiatry Associates PA
Orange, NJ 07050-1562
Phone (973) 678-5000
99 Old Matawan Rd
Advanced Feet and Ankle Care
Old Bridge, NJ 08857-1427
Phone (732) 679-4330
Hospital & facility affiliations
- Raritan Bay Medical Center
- Centrastate Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 13 |
| Removal of skin lesions | 56 |
| Removal of nail tissue | 1623 |
| Removal or shaving of skin growth | 294 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070803000540 | NJ | Practitioner - Podiatry | 9234220385 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Feet and Ankle Care | Past | Accepting new patients | |
| New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- jasong@afaacp-nj.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00288400 | NJ | Yes |
Addresses
Primary practice location
99 Old Matawan Rd.
Old Bridge, NJ 08857-1427
Mailing address
99 Old Matawan Rd.
Old Bridge, NJ 08857
Phone (732) 679-4330
Other practice location 1
2477 Highway 516
Old Bridge, NJ 08857-4603
Phone (732) 679-4330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9053506 | Medicaid | NJ |
Other providers in Old Bridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.