Active NPIOrganization

Dominick A. Grosso, D.o. LLC

Internal Medicine in Red Bank, New Jersey

NPI Number1063436749
Practice location
5 Globe CT, Red Bank, NJ 07701-1824
Fax
732-212-8818
Last updated
August 22, 2007

Dominick A. Grosso, D.o. LLC is a healthcare organization based in Red Bank, NJ. Dominick A. Grosso, D.o. LLC practices in Red Bank, NJ. The NPI Number for Dominick A. Grosso, D.o. LLC is 1063436749 and holds a License No. 25MB04501200 (NJ). The current practice location address for Dominick A. Grosso, D.o. LLC is 5 Globe CT, Red Bank, NJ 07701-1824 and can be reached out via phone at 732-219-0110 and via fax at 732-212-8818.

Provider Profile Details

NPI Number
1063436749
Provider Name
Dominick A. Grosso, D.o. LLC
Provider Entity Type
Organization
Address
5 Globe CT, Red Bank, NJ 07701-1824
Phone Number
732-219-0110
Fax Number
732-212-8818
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Dominick A. Grosso, DO · Physician/Owner · 732-219-0110
Provider Enumeration Date
July 27, 2006
Last Update Date
August 22, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Globe CT
Red Bank, NJ 07701-1824
Zip
07701-1824
Phone Number
732-219-0110
Fax Number
732-212-8818
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
5 Globe CT
Red Bank, NJ 07701-1824
City
Red Bank
State
NJ
Zip
07701-1824
Phone Number
732-219-0110
Fax Number
732-212-8818

License Information

License Number (1)
25MB04501200
License State (1)
NJ
Taxonomy (1)
Family Medicine, Adult Medicine · 207QA0505X
License Number (2)
25MB04501200
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominick A. Grosso, D.o. LLC?

The NPI number of Dominick A. Grosso, D.o. LLC is 1063436749. It was assigned on July 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Dominick A. Grosso, D.o. LLC?

Dominick A. Grosso, D.o. LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB04501200.

Where does Dominick A. Grosso, D.o. LLC practice?

The practice location is 5 Globe CT, Red Bank, NJ 07701-1824. The office can be reached at 732-219-0110 (phone) or 732-212-8818 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063436749 directly on the NPPES registry website.

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