Organization Active NPI

Martin a. Grossman, MD PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Woodmere, NY
National Provider Identifier
1912275041
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
199759 Issued in NY
Legal business name
MARTIN A. GROSSMAN, MD PC
Practice address
560 Woodmere Blvd
Woodmere, NY 11598-1921
Phone
(917) 202-9070
NPI assigned
Dec 4, 2011
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Martin Grossman, MDNPI 1154384774
Title
Ceo
Phone
(917) 202-9070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 199759 NY Primary

Addresses

Primary practice location

560 Woodmere Blvd
Woodmere, NY 11598-1921

Mailing address

560 Woodmere Blvd
Woodmere, NY 11598-1921
Phone (917) 202-9070

National Provider Directory

National Provider Directory

Locations

5115 Beach Channel Dr
Ste 421
Far Rockaway, NY 11691

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1912275041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WOODMERE BLVD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981921",
            "telephone_number": "917-202-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WOODMERE BLVD",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981921",
            "telephone_number": "917-202-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN A. GROSSMAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-202-9070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "199759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.