LEONARD J. GROSSMAN. MD


Address: 1911 Route 46, Ledgewood, NJ 07852
Phone: 9733478500

LEONARD J. GROSSMAN. MD (NPI# 1558537233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558537233
Entity Type Organization
Organization Name LEONARD J. GROSSMAN. MD
Other Organization Name PEDIATRIC & ADOLESCENT CTR
Practice Address 1911 Route 46
Ledgewood
NJ 07852
Mailing Address 1911 Route 46
P O Box 500
Netcong
NJ 07857-0500
Practice Telephone 9733478500
Practice Fax Number 9733477320
Mailing Telephone 9733478500
Mailing Fax Number 9733477320
Enumeration Date 2008-05-02
Last Update Date 2008-06-19
Authorized Official Name DR. LEONARD J GROSSMAN (MEDICAL DOCTOR)
Authorized Official Telephone 9733478500
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 25MA02924700 NJ Managed Care Organizations

Other Provider/Organization Names

Other Name Type Code
Pediatric & Adolescent Ctr Doing Business As Name - Organization

Office Location

Street Address 1911 ROUTE 46
City LEDGEWOOD
State NJ
Zip Code 07852

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1285949750 Walter Beckford Od Optometrist 461 Route 10 Suite 29, Ledgewood, NJ 07852 2010-08-09
1164520987 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1105 Rte 46, Ledgewood, NJ 07852 2006-09-20
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City LEDGEWOOD
Zip Code 07852

Improve Information

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Dataset Information

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.

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