Individual provider Active NPI

Gerald B Grossman, DDS

  • General Practice Dentistry
  • Westbury, NY
National Provider Identifier
1952597668
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
028056 Issued in NY
Practice address
1600 Stewart Ave
Suite 102
Westbury, NY 11590-6696
Phone
(516) 683-0888
Fax
(516) 683-0892
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 028056 NY Primary

Addresses

Primary practice location

1600 Stewart Ave
Suite 102
Westbury, NY 11590-6696

Mailing address

1600 Stewart Ave
Suite 102
Westbury, NY 11590-6696
Phone (516) 683-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028056NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
U.E.S. Dental P.L.L.C. PastSince Jul 25, 2021 Accepting new patients
Ganz & Grossman, DDS, PC. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1952597668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE",
            "address_2": "SUITE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906696",
            "telephone_number": "516-683-0888",
            "fax_number": "516-683-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE",
            "address_2": "SUITE 102",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906696",
            "telephone_number": "516-683-0888",
            "fax_number": "516-683-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "GERALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "028056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.