Active NPIIndividual provider

Mr. Anthony P Gross, AGACNP-BC, CNP, RN

Nurse Practitioner in Jamaica Plain, Massachusetts

NPI Number1619505773
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
844-810-9969
Last updated
May 31, 2023

Anthony Philip Gross is a Nurse Practitioner based in Jamaica Plain, MA. Anthony Philip Gross practices in Jamaica Plain, MA and has the professional credentials of AGACNP-BC, CNP, RN. The NPI Number for Anthony Philip Gross is 1619505773 and holds a License No. RN2307165 (MA). The current practice location address for Anthony Philip Gross is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 857-364-6020 and via fax at 844-810-9969.

Provider Profile Details

NPI Number
1619505773
Provider Name
Anthony Philip Gross
Credential
AGACNP-BC, CNP, RN
Provider Entity Type
Individual
Gender
Male
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
857-364-6020
Fax Number
844-810-9969
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
April 1, 2020
Last Update Date
May 31, 2023
Certification Date
May 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
857-364-6020
Fax Number
844-810-9969
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
17 Frederick St
Belmont, MA 02478-4410
City
Belmont
State
MA
Zip
02478-4410
Phone Number
617-466-9841
Fax Number
844-810-9969

License Information

License Number (1)
RN2307165
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2307165
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Mr. Anthony P Gross, AGACNP-BC, CNP, RN?

The NPI number of Mr. Anthony P Gross, AGACNP-BC, CNP, RN is 1619505773. It was assigned on April 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Anthony P Gross, AGACNP-BC, CNP, RN?

Mr. Anthony P Gross, AGACNP-BC, CNP, RN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2307165.

Where does Mr. Anthony P Gross, AGACNP-BC, CNP, RN practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 857-364-6020 (phone) or 844-810-9969 (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 1619505773 directly on the NPPES registry website.

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