Kenneth M Gross, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00492900 Issued in NJ

Practice address

293 Passaic St
Passaic, NJ 07055-5803

Phone

(973) 473-3600

Fax

(973) 473-3661

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maximum Wellness Rehabilitation Center LLC

  • Physical Therapist
  • Toms River, NJ
  • NPI 1285147017

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1740488709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-473-3600",
            "fax_number": "973-473-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-473-3600",
            "fax_number": "973-473-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00492900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lee Gordon Palley, CPT, RYT-200, PCES
• Mona Gothi, PA
• Glendolin Grant, MT
• Michelle L Grant
• Lucille Monica Green, APN MSN
• Alyssa Grossman, RD
• Jodi Hope Grossman, OTR
• Chanita Groysman
• Mayer Grunfeld, M.D.
• Daiana Guerrero, ANP

• All providers in Passaic, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.