Marc Grossman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

127577 Issued in NY

Practice address

12 Greenridge Ave
White Plains, NY 10605-1238

Phone

(914) 946-1101

Fax

(914) 946-6925

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

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

Specialty

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 1974

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• White Plains Hospital Center Hospital, White Plains, NY, CCN 330304

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1679776769
  Medicare reassignment NPD
• The Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1083797393
  NPD
• Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1841295219
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• White Plains Hospital Medical Center

  • General Acute Care Hospital
  • White Plains, NY
  • NPI 1447255153
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1972543098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-946-1101",
            "fax_number": "914-946-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-946-1101",
            "fax_number": "914-946-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "127577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lauren Bonds Grocher, LCSW
• Will Groff
• Lawrence Ely Grolnick, MD
• Valerie Nicole Gross, M.D.
• James Ira Grossman, MD
• Patricia Grossman, LCSW
• William S. Grossman, LCSW
• Dennis P Groves, MD
• Mercedes Frances Grubb, CNIM
• Laura Gruber, M.D.

• Dermatology Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.