Active NPI
Jason M. Grossman, D.P.M.
- Podiatrist
- Old Bridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00288400
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9053506 | Medicaid | NJ |
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
Enrollment records 1
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 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00288400 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | Past | Accepting new patients |
| Advanced Feet and Ankle Care | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Podiatrist
- Howell, NJ
- NPI 1518230663
-
- Podiatrist
- Old Bridge, NJ
- NPI 1356588917
-
- Non-Pharmacy Dispensing Site
- Old Bridge, NJ
- NPI 1588187439
-
- Podiatrist
- Sayreville, NJ
- NPI 1881820777
-
- Foot & Ankle Surgery Podiatrist
- Clifton, NJ
- NPI 1578865150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
dba Raritan Bay Medical Center-Old Bridge
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
dba Raritan Bay Medical Center
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
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
- Ellen Gregory
- Marcia Gricko, M.A.,C.C.C.-A
- Robert Griggs Jr., DMD
- Annmarie Grigoletto, M.D.
- Ewa Grochowalska, MD
- Hackensack Meridian Ambulatory Care, Inc (HMH Pharmacy at Old Bridge Medical Center)
- Hackensack Meridian Ambulatory Care, Inc (JFK Advanced Medical Imaging of Old Bridge)
- Hackensack Meridian Ambulatory Care, Inc (HMH Pharmacy at Old Bridge Medical Center)
- Hackensack Meridian Outpatient Services, Inc. (Hackensack Meridian Imaging Old Bridge)
- Alexandra J. Hagins, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.