Amy Cooper Grossberg P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27T0000A1300 Issued in NJ

Legal business name

AMY COOPER GROSSBERG P.C.

Practice address

165 Main St
Paterson, NJ 07505-1201

Phone

(973) 278-4480

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Amy Cooper Grossberg, OD

Title

President

Phone

(973) 278-4480

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952459521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051201",
            "telephone_number": "973-278-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051201",
            "telephone_number": "973-278-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY COOPER GROSSBERG P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER GROSSBERG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-278-4480",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27T0000A1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6072208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ames Bobila, M.D.
• Mona Amin
• Amoremio L.L.C.
• Ashley-Lynn Amoruso, LCSW
• Nassim Ismail Amro, RN
• Luz B Anaya
• Sequita Shontae Anderson
• Christopher Andrews
• Debra Lynn Andrulonis, ACNP- BC
• Geoffrey Appelboom, M.D.

• Optometrist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.