BETH R GROSS (NPI# 1134218993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134218993 |
| Entity Type | Individual |
| Full Name | BETH R GROSS |
| Credential | MD |
| Practice Address |
1615 Northern Blvd Ste 106 Manhasset NY 11030-3033 |
| Mailing Address |
900 Merchants Concourse Ste 216 Westbury NY 11590-5114 |
| Practice Telephone | 5163652500 |
| Practice Fax Number | 5163654980 |
| Mailing Telephone | 5162268373 |
| Mailing Fax Number | 8446328265 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
164265 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | A628399 | 01 | |
| GHI | 4100247 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3629 Bell Blvd, Bayside, NY 113612056 | 7182245800 | 7184236655 |
| 40 Crossways Park Dr Ste 101, Woodbury, NY 117972038 | 5164963900 | 5164969350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639350184 | Beth V Gross | Occupational Therapy Assistant | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-11-26 |
| Street Address |
1615 NORTHERN BLVD STE 106 |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154558856 | Justin Michael Petrocelli | Obstetrics & Gynecology | 1615 Northern Blvd Ste 106, Manhasset, NY 11030-3033 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380932 | Svetlana Yablok | Radiology | 600 Community Dr Ste 304, Manhasset, NY 11030-3818 | 2011-05-07 |
| 1740441898 | Daniel S Lerner | Radiology | 37 Valley Rd, Manhasset, NY 11030-1441 | 2008-06-21 |
| 1689842148 | Neil Castillo Srivastava | Radiology | 306 Community Dr, Apt. 6o, Manhasset, NY 11030-3838 | 2008-02-18 |
| 1689721078 | Harold R Tanenbaum | Radiology | 33 Kensington Cir, Manhasset, NY 11030-4104 | 2007-01-05 |
| 1871653931 | Robin Warshawsky | Radiology | Nsuh Dept of Radiology, 300 Community Drive, Manhasset, NY 11030 | 2006-12-11 |
| 1932270931 | Jason Naidich | Radiology | Nsuh - Dept of Radiology, 300 Community Drive, Manhasset, NY 11030 | 2006-11-13 |
| 1295805646 | Craig Greben | Radiology | Nsuh-dept of Radiology, 300 Community Drive, Manhasset, NY 11030 | 2006-11-09 |
| 1770660730 | Richard A Heiden | Radiology | 56 Hemlock Rd, Manhasset, NY 11030-1212 | 2006-11-01 |
| 1497775068 | Paul D Cayea | Radiology | 128 Eagles Cres, Manhasset, NY 11030-4040 | 2006-07-19 |
| 1033598776 | Adina Haramati | Radiology | 300 Community Dr, Manhasset, NY 11030-3816 | 2015-05-27 |
| Find all providers in MANHASSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.