Melissa Grossman, CMT

Primary specialty

ContractorTaxonomy code 171W00000X

License

AMTA 165651 Issued in NJ

Practice address

788 Shrewsbury Ave
Quaker Square
Tinton Falls, NJ 07724-3080

Phone

(732) 758-1800

NPI assigned

Dec 9, 2007

Last updated

Dec 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197158400000",
    "number": "1952584336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 12TH AVE",
            "address_2": "REAR",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 SHREWSBURY AVE",
            "address_2": "QUAKER SQUARE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243080",
            "telephone_number": "732-758-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MELISSA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NJ",
            "license": "AMTA 165651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cedric Haddad, D.P.T.
• Jean E Hager, .,L.C.S.W.,L.C.A.D.C

• Contractor in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Contractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.