Mark Grusso, DPM, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MARK GRUSSO, DPM, PC

Practice address

409 Coventry Dr
Phillipsburg, NJ 08865-1969

Phone

(908) 213-0029

Fax

(908) 213-9393

NPI assigned

Jun 15, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark T Grusso, DPMNPI 1144260175

Title

President

Phone

(908) 213-0029

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Jason Berman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Secaucus, NJ
  • NPI 1356563340
  Medicare reassignment NPD
• Mark T Grusso, DPM

  • Podiatrist
  • Phillipsburg, NJ
  • NPI 1144260175
  Authorized official Same address or phone

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1881638674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-213-0029",
            "fax_number": "908-213-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651969",
            "telephone_number": "908-213-0029",
            "fax_number": "908-213-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK GRUSSO, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GRUSSO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-213-0029",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4568605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA8539",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia March, PT, DPT
• Alyssa Nicole Marchand, MSW, LSW
• Mario Joseph Marelli, DC
• Margolis Medical Group PLLC (Margolis Medical Group)
• Franklin I Margolis, M.D.
• Rey Augustine Marquez, PT
• Mars Roman Beauty RX
• Christopher Martin
• William Martinez, RESPIRATORY THERAPIS
• Monica Adel Marzouk

• Podiatrist in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.