MATTHEW ROGERS GROSSMAN (NPI# 1295769701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295769701 |
| Entity Type | Individual |
| Full Name | MATTHEW ROGERS GROSSMAN |
| Credential | MD |
| Practice Address |
800 Howard Ave Yale Physicians Bldg New Haven CT 06519-1369 |
| Mailing Address |
Po Box 9805 300 George St 6th Floor New Haven CT 06536-0805 |
| Practice Telephone | 2037852140 |
| Practice Fax Number | 2037856414 |
| Mailing Telephone | 2037857998 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 044344 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928537 | Matthew Grossman | Pharmacist | 811 S Centerville Rd, Sturgis, MI 49091-2063 | 2019-11-29 |
| 1477199917 | Matthew Jake Grossman | Physical Therapist | 450 7th Ave Ste 1800, New York, NY 10123-1892 | 2019-11-19 |
| 1114328754 | Matthew Grossman | Behavioral Analyst | 412 1st St Se, Lower Level, Rear of Building, Washington, DC 20003-1804 | 2014-09-15 |
| 1063618908 | Matthew Aaron Grossman | Internal Medicine | 205 Browertown Rd, Suite 204, Woodland Park, NJ 07424-2671 | 2007-06-26 |
| 1457470650 | Matthew Grossman | Dentist | 370 Kings Mall Ct, Kingston, NY 12401-1576 | 2007-03-28 |
| 1750482782 | Matthew G Grossman | Nurse Anesthetist, Certified Registered | 1805 Sinclair Ave, Steubenville, OH 43953-3327 | 2006-09-25 |
| Street Address |
800 HOWARD AVE YALE PHYSICIANS BLDG |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621419 | John P Fulkerson | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2005-07-01 |
| 1467068163 | Catherine Aileen Chagnon | Physical Medicine & Rehabilitation | 800 Howard Ave, New Haven, CT 06519-1369 | 2020-09-17 |
| 1508408915 | Rebecca Lynne Tallarita | Nurse Practitioner | 800 Howard Ave, New Haven, CT 06519 | 2019-10-17 |
| 1598323610 | Brianne Krawczyk | Pharmacist | 800 Howard Ave, Hvc Center-2nd Floor, New Haven, CT 06519 | 2019-06-04 |
| 1467017277 | Gabriel B Lerner | Student in an Organized Health Care Education/Training Program | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-05-07 |
| 1467915413 | Sarah Elizabeth Savoia | Physician Assistant | 800 Howard Ave, New Haven, CT 06519-1369 | 2019-04-08 |
| 1992287577 | Brittany Cyr | Pharmacist | 800 Howard Ave, New Haven, CT 06519-1369 | 2018-08-30 |
| 1700395506 | Lauren Katherine Fagan | Audiologist | 800 Howard Ave, New Haven, CT 06519-1369 | 2017-09-25 |
| 1548784093 | Megan Frank Harari | Nurse Practitioner | 800 Howard Ave, Ste 1st Floor, Room 133, New Haven, CT 06519 | 2017-07-26 |
| 1942723168 | Jamie B Freeman | Physician Assistant | 800 Howard Ave, Yale Neurosurgery, New Haven, CT 06519-1369 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225322456 | Matthew Drago | Pediatrics | 1 Park St # Wp4, New Haven, CT 06504-8901 | 2011-06-06 |
| 1497082648 | Jason Henry Greenberg | Pediatrics | 15 W Rock Ave, New Haven, CT 06515-2218 | 2009-11-09 |
| 1841428406 | Angela M Montgomery | Pediatrics | 20 York St # Wp493, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-06-22 |
| 1538396353 | Erin A Nozetz | Pediatrics | 20 York St # T209, Yale New Haven Hospital, New Haven, CT 06510-3220 | 2009-06-18 |
| 1891933727 | Lawrence Tse Siew | Pediatrics | 100 York St Ste 1f, New Haven, CT 06511-5664 | 2009-01-30 |
| 1750548848 | Dean Yimlamai | Pediatrics | 333 Cedar St # 4093, New Haven, CT 06510-3206 | 2008-05-18 |
| 1134394323 | Nicole Marie Brown | Pediatrics | 333 Cedar Street Shm Ie-61, New Haven, CT 06520 | 2008-04-28 |
| 1376720961 | Adam Kenneth Berkwitt | Pediatrics | 20 York St, T209, Yale New Haven Hospital, New Haven, CT 06510 | 2008-01-25 |
| 1780885871 | Lindsay Callahan Johnston | Pediatrics | 333 Cedar St, Wp 493 Box 208064, Yale University, Dept. of Pediatrics, Neonatology, New Haven, CT 06520-8064 | 2007-05-29 |
| 1245328335 | Nancy Monestime-williams | Pediatrics | 646 Quinnipiac Ave, New Haven, CT 06513-4003 | 2006-10-11 |
| Find all providers in NEW HAVEN | ||||
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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.