Organization Active NPI

Harry Grossman MD PA

Doing business as Garden State Eye Physicians and Surgeons

  • Ophthalmology Physician
  • Marlton, NJ
National Provider Identifier
1730248105
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA65455 Issued in NJ
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

Updated by the provider on Dec 1, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.