Provider Type Icon

DR. RONALD LEE GROSS M.D. NPI 1043328289


NPI Information

NPI: 1043328289
Provider Name: DR. RONALD LEE GROSS, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3765 RIVERDALE AVE
SUITE 5
BRONX, NY
ZIP 10463
Phone: (718) 601-2700
Get Directions

DR. Ronald Lee Gross, M.D. is a general practice in Bronx, NY with 41 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Ronald Lee Gross, M.D. NPI is 1043328289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3765 RIVERDALE AVE
SUITE 5
BRONX, NY
ZIP 10463-845
Phone: (718) 601-2700
Fax: (718) 601-6102

The NPI 1043328289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 1/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice196995NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105926HOTHERNEW YORKGHI MEDICARE
2165571MEDICARE PINNEW YORK
3110223109OTHERNEW YORKRAILROAD MEDICARE
41043328289OTHERNEW YORKNPI
58C858OTHERNEW YORKEMPIRE BLUE CROSS BLUE SH
6G02082MEDICARE UPINNEW YORK
701634197MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.