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DOMINICK A. GROSSO D.O. LLC NPI 1063436749


NPI Information

NPI: 1063436749
Provider Name: DOMINICK A. GROSSO, D.O. LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
5 GLOBE CT
RED BANK, NJ
ZIP 07701
Phone: (732) 219-0110
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DOMINICK A. GROSSO, D.O. LLC is an internal medicine in Red Bank, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DOMINICK A. GROSSO, D.O. LLC NPI is 1063436749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5 GLOBE CT
RED BANK, NJ
ZIP 07701-824
Phone: (732) 219-0110
Fax: (732) 212-8818

The provider's authorized official is Dominick A. Grosso .
The authorized official title is Physician/owner and has the following contact phone number (732) 219-0110.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 8/22/2007.


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
1207QA0505XFamily MedicineAdult Medicine25MB04501200NEW JERSEYNo
2207R00000XInternal Medicine25MB04501200NEW JERSEYYes

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
12599954OTHERNEW JERSEYGHI
21485601MEDICAIDNEW JERSEY
3092660MEDICARE PINNEW JERSEY
4F00646MEDICARE UPINNEW JERSEY

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: 11/14/2023

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