Elliot A Grossman, MD | |
205 Ridgedale Ave, Florham Park, NJ 07932 | |
(973) 966-6333 | |
(973) 301-0435 |
Full Name | Elliot A Grossman |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 205 Ridgedale Ave, Florham Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194755710 | NPI | - | NPPES |
0137908000 | Other | NJ | AMERIHEALTH |
464285 | Other | NJ | KEYSTONE |
3435903 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MA51708 (New Jersey) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | 148891 (New Jersey) | Secondary |
Entity Name | Children's Specialized Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396886297 PECOS PAC ID: 4486733243 Enrollment ID: O20101216000181 |
Mailing Address | Practice Location Address |
---|---|
Elliot A Grossman, MD 205 Ridgedale Ave, Florham Park, NJ 07932 Ph: (973) 966-6333 | Elliot A Grossman, MD 205 Ridgedale Ave, Florham Park, NJ 07932 Ph: (973) 966-6333 |
Dr. Alan L Gordon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 222 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-261-9075 | |
Dr. Ritesha S Krishnappa, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Vreeland Rd Ste A304, Florham Park, NJ 07932 Phone: 201-614-4461 | |
Ethan Isidro, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 256 Columbia Tpke Ste 209, Florham Park, NJ 07932 Phone: 201-487-1240 | |
Miss Brittney Starr Boykin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25a Vreeland Rd Ste 105, Florham Park, NJ 07932 Phone: 973-971-4635 Fax: 973-290-7614 | |
Andrew James Wilbur, M.D. (JUNE 2017) Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 256 Columbia Tpke Ste 209, Florham Park, NJ 07932 Phone: 201-487-1240 | |
Dr. Ernesto Ayque Amaranto, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 205 Ridgedale Ave, Florham Park, NJ 07932 Phone: 973-966-1130 Fax: 973-543-7664 |