Daniel Grossman

Key facts

NPI

1891379129

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

82948 (CT)

Practice address

14 Jones Hollow Rd
Marlborough, CT 06447-1448

Phone

(860) 295-8217

Fax

(860) 295-9734

NPI assigned

May 12, 2021

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Prohealth Physicians PC Family Medicine Physician · Farmington, CT · NPI 1720194053
  Medicare reassignment Care Compare group NPD CT · SINGLE SPECIALTY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital General Acute Care Hospital · Middletown, CT · NPI 1760454334
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Physicians PC (214 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital · Middletown, CT · CCN 070020

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2025.

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1891379129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8217",
            "fax_number": "860-295-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "82948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Marlborough, CT · Family Medicine Physician in Connecticut