Jason M. Grossman in Old Bridge - Podiatrist
Jason M. Grossman - NPI 1720079239
Jason M. Grossman is a Podiatrist in Old Bridge, New Jersey. Jason M. Grossman practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jason M. Grossman is 1720079239. The last update date is 2022-10-24.
Jason M. Grossman's current location address is 99 Old Matawan Rd., Old Bridge, New Jersey. You can contact this provider via phone number 7326794330 and fax number 7326794777. The mailing address for Jason M. Grossman is 99 Old Matawan Rd., Old Bridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason M. Grossman |
|---|---|
| Address | 99 Old Matawan Rd., Old Bridge, New Jersey |
| Phone Number | 7326794330 |
| Fax Number | 7326794777 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1720079239 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2022-10-24 |
Provider Mailing Address Detail
| Address | 99 Old Matawan Rd. |
|---|---|
| City | Old Bridge |
| State | New Jersey (NJ) |
| Post Code | 8857 |
| Phone Number | 7326794330 |
| Fax Number | 7326794777 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 25MD00288400 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9053506 | NJ | -- |
Post Comment/ Review Below
What is the Jason M. Grossman's unique identification number?
The Jason M. Grossman has been assigned the NPI (National Provider Identifier) Number 1720079239 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jason M. Grossman is physically located?
The Jason M. Grossman is physically situated at the following address: 99 Old Matawan Rd., Old Bridge, NJ, 8857.
What is Jason M. Grossman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason M. Grossman's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Jason M. Grossman receive its 1720079239 assignment from the Centers for Medicare & Medicaid Services?
The Jason M. Grossman was assigned its 1720079239 by the Centers for Medicare & Medicaid Services on 2005-11-03.
When was the information pertaining to Jason M. Grossman most recently updated or revised?
The details related to Jason M. Grossman, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-24.