Individual provider Active NPI

Rami Rafael Grossmann, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • New Hyde Park, NY
National Provider Identifier
1962480079
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
182630 Issued in NY
Practice address
1510 Jericho Tpke
New Hyde Park, NY 11040-4713
Phone
(516) 352-2500
Fax
(516) 352-2573
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 182630 NY Primary

Addresses

Primary practice location

1510 Jericho Tpke
New Hyde Park, NY 11040-4713

Mailing address

124 Hamilton Dr
Roslyn, NY 11576-3129
Phone (516) 352-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000719 NY Practitioner - Pediatric MedicinePractitioner - Neurology 4587746649 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Feb 3, 2024 Accepting new patients
Nassau Health Care Corporation CurrentSince Feb 3, 2024 Accepting new patients
St John'S Medical Services PC CurrentSince Sep 2, 2017 Accepting new patients
Flushing Hospital Medical Center CurrentSince Oct 2, 2011 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
TJH Medical Services, P.C. CurrentSince Jan 1, 2016 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Oct 2, 2011 Accepting new patients
Nassau Health Care Corporation Past Accepting new patients
South Beach Medical PC Past Accepting new patients
CMC Housestaff Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

495 Beach 20th St
Far Rockaway, NY 11691
Phone (347) 619-5950

131 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 688-0200

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rami.grossmann.1@14448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1962480079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAMILTON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763129",
            "telephone_number": "516-352-2500",
            "fax_number": "516-352-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404713",
            "telephone_number": "516-352-2500",
            "fax_number": "516-352-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMANN",
        "first_name": "RAMI",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "182630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.