MICHELLE GROSSO PHYSICIAN ASSISTANT NPI 1629345053

NPI Information

  • NPI: 1629345053
  • Provider Name: MICHELLE GROSSO, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 NEWTOWN RD STE 2C
    DANBURY, CT
    ZIP 06810
  • Phone: (203) 791-9661

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NPI Details

Michelle Grosso, PHYSICIAN ASSISTANT is a surgical physician assistant in Danbury, CT with 24 years of experience. Michelle Grosso, PHYSICIAN ASSISTANT NPI is 1629345053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:2001

The provider's business location address is:

107 NEWTOWN RD STE 2C
DANBURY, CT
ZIP 06810
Phone: (203) 791-9661
Fax: (203) 730-4162

The NPI 1629345053 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 11/30/2011 and was last updated on 8/14/2018.

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
1363AS0400XPhysician AssistantSurgical001966CONNECTICUTYes

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: 3/30/2025

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