Active NPIIndividual providerSole proprietor

Dr. Wendy L Grossman, DPM

Podiatrist, Sports Medicine in Bloomfield, New Jersey

NPI Number1124194410
Practice location
905 Broad St, Bloomfield, NJ 07003-2869
Fax
973-566-0833
Last updated
September 14, 2012

Wendy Lynn Grossman is a Podiatrist, Sports Medicine based in Bloomfield, NJ. Wendy Lynn Grossman practices in Bloomfield, NJ and has the professional credentials of DPM. The NPI Number for Wendy Lynn Grossman is 1124194410 and holds a License No. 25MD00230300 (NJ). The current practice location address for Wendy Lynn Grossman is 905 Broad St, Bloomfield, NJ 07003-2869 and can be reached out via phone at 973-566-0811 and via fax at 973-566-0833.

Provider Profile Details

NPI Number
1124194410
Provider Name
Wendy Lynn Grossman
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
905 Broad St, Bloomfield, NJ 07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833
Primary Taxonomy
Podiatrist, Sports Medicine · 213ES0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2006
Last Update Date
September 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
905 Broad St
Bloomfield, NJ 07003-2869
Zip
07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
905 Broad St
Bloomfield, NJ 07003-2869
City
Bloomfield
State
NJ
Zip
07003-2869
Phone Number
973-566-0811
Fax Number
973-566-0833

License Information

License Number
25MD00230300
License State
NJ
Taxonomy
Podiatrist, Sports Medicine · 213ES0000X · Primary

Legacy Identifiers

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

Other Podiatrist, Sports Medicine providers near Bloomfield, NJ

View all Podiatrist, Sports Medicine providers in Bloomfield →

Frequently Asked Questions

What is the NPI number of Dr. Wendy L Grossman, DPM?

The NPI number of Dr. Wendy L Grossman, DPM is 1124194410. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Wendy L Grossman, DPM?

Dr. Wendy L Grossman, DPM is registered under the primary taxonomy Podiatrist, Sports Medicine (code 213ES0000X), licensed in NJ under license number 25MD00230300.

Where does Dr. Wendy L Grossman, DPM practice?

The practice location is 905 Broad St, Bloomfield, NJ 07003-2869. The office can be reached at 973-566-0811 (phone) or 973-566-0833 (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 1124194410 directly on the NPPES registry website.

Browse related providers