DR. RANDOLPH (RANDY) ERIC GROSS PHD RN NP CNS NPI 1073772794

NPI Information

NPI: 1073772794
Provider Name: DR. RANDOLPH (RANDY) ERIC GROSS, PHD RN NP CNS
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
161 WILLIAM STREET
OFFICE 508
NEW YORK, NY
ZIP 10038
Phone: (212) 618-6029
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DR. Randolph (randy) Eric Gross, PHD RN NP CNS is a women's health nurse practitioner in New York, NY. DR. Randolph (randy) Eric Gross, PHD RN NP CNS NPI is 1073772794. 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:

161 WILLIAM STREET
OFFICE 508
NEW YORK, NY
ZIP 10038
Phone: (212) 618-6029

The enumeration date for this NPI number is 6/6/2008 and was last updated on 9/10/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	420792	NEW YORK	No
2	207RX0202X	Internal Medicine	Medical Oncology	420792	NEW YORK	No
3	363LW0102X	Nurse Practitioner	Women's Health	420792	NEW YORK	Yes

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

NPI Synchronization or Removal

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