NPI Details
DR. Kenneth A Grossman, M.D. is a procedural dermatology dermatology in Little Silver, NJ with 49 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Kenneth A Grossman, M.D. NPI is 1427012533. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1977
The provider's business location address is:
180 WHITE RD
SUITE 103
LITTLE SILVER, NJ
ZIP 07739-166
Phone: (732) 842-5222
Fax: (732) 741-6285
The NPI 1427012533 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
- Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
- Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
- Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11307)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
- Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
The enumeration date for this NPI number is 4/14/2006 and was last updated on 4/25/2008.
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 | 207NS0135X | Dermatology | Procedural Dermatology | 25MA04207000 | NEW JERSEY | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 022622 | MEDICARE PIN | NEW JERSEY | |
| 2 | C08403 | MEDICARE UPIN | NEW JERSEY | |