Individual provider Active NPI

Jason M. Grossman, D.P.M.

  • Podiatrist
  • Old Bridge, NJ
National Provider Identifier
1720079239
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00288400 Issued in 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
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00288400 NJ Primary

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 1

IdentifierTypeStateIssuer
9053506MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000540 NJ Practitioner - Podiatry 9234220385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal of skin lesions56
Removal of nail tissue1623
Removal or shaving of skin growth294
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00288400NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Podiatric Physicians & Surgeons Group, LLC Podiatrist Past Accepting new patients
Advanced Feet and Ankle Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jasong@afaacp-nj.direct.office.nextgen.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1720079239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OLD MATAWAN RD.",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-679-4330",
            "fax_number": "732-679-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD MATAWAN RD.",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571427",
            "telephone_number": "732-679-4330",
            "fax_number": "732-679-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2477 Highway 516",
            "address_purpose": "LOCATION",
            "city": "Old Bridge",
            "state": "NJ",
            "postal_code": "088574603",
            "country_code": "US",
            "telephone_number": "732-679-4330",
            "fax_number": "732-679-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00288400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.