Active NPI
Harry Grossman MD PA
Doing business as Garden State Eye Physicians and Surgeons
- Ophthalmology Physician
- Marlton, NJ
National Provider Identifier
1730248105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MA65455
- Legal business name
- HARRY GROSSMAN MD PA
- Doing business as
- Garden State Eye Physicians and Surgeons
- Practice address
- 100 Brick Rd
Suite 115
Marlton, NJ 08053-2146 - Phone
- (856) 983-1400
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Grossman, MD
- Title
- President
- Phone
- (856) 983-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA65455 | NJ | Primary |
Addresses
Primary practice location
100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Mailing address
100 Brick Rd
Suite 115
Marlton, NJ 08053-2146
Other names 1
- GARDEN STATE EYE PHYSICIANS AND SURGEONS
National Provider Directory
National Provider DirectoryLocations
1613 Route 38
Lumberton, NJ 08048
Phone (609) 261-3716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1730248105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRICK RD",
"address_2": "SUITE 115",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICK RD",
"address_2": "SUITE 115",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532146",
"telephone_number": "856-983-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRY GROSSMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "GROSSMAN",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-983-1400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA65455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GARDEN STATE EYE PHYSICIANS AND SURGEONS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.