Active NPIIndividual provider

Dr. Jason M Grossman, DPM

Podiatrist in Old Bridge, New Jersey

NPI Number1720079239
Practice location
99 Old Matawan RD., Old Bridge, NJ 08857-1427
Fax
732-679-4777
Last updated
October 24, 2022

Jason M. Grossman is a Podiatrist based in Old Bridge, NJ. Jason M. Grossman practices in Old Bridge, NJ and has the professional credentials of DPM. The NPI Number for Jason M. Grossman is 1720079239 and holds a License No. 25MD00288400 (NJ). The current practice location address for Jason M. Grossman is 99 Old Matawan RD., Old Bridge, NJ 08857-1427 and can be reached out via phone at 732-679-4330 and via fax at 732-679-4777.

Provider Profile Details

NPI Number
1720079239
Provider Name
Jason M. Grossman
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
99 Old Matawan RD., Old Bridge, NJ 08857-1427
Phone Number
732-679-4330
Fax Number
732-679-4777
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
November 3, 2005
Last Update Date
October 24, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Old Matawan RD.
Old Bridge, NJ 08857-1427
Zip
08857-1427
Phone Number
732-679-4330
Fax Number
732-679-4777
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
99 Old Matawan RD.
Old Bridge, NJ 08857
City
Old Bridge
State
NJ
Zip
08857
Phone Number
732-679-4330
Fax Number
732-679-4777

License Information

License Number
25MD00288400
License State
NJ
Taxonomy
Podiatrist · 213E00000X · 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 Dr. Jason M Grossman, DPM?

The NPI number of Dr. Jason M Grossman, DPM is 1720079239. It was assigned on November 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jason M Grossman, DPM?

Dr. Jason M Grossman, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00288400.

Where does Dr. Jason M Grossman, DPM practice?

The practice location is 99 Old Matawan RD., Old Bridge, NJ 08857-1427. The office can be reached at 732-679-4330 (phone) or 732-679-4777 (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 1720079239 directly on the NPPES registry website.

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