MARK GRUSSO, DPM, PC (NPI# 1881638674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881638674 |
| Entity Type | Organization |
| Organization Name | MARK GRUSSO, DPM, PC |
| Practice Address |
409 Coventry Dr Phillipsburg NJ 08865-1969 |
| Practice Telephone | 9082130029 |
| Practice Fax Number | 9082139393 |
| Mailing Telephone | 9082130029 |
| Mailing Fax Number | 9082139393 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-03-11 |
| Authorized Official Name | MARK T GRUSSO (PRESIDENT) |
| Authorized Official Telephone | 9082130029 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4568605 | 05 | |
| NJ | RAILROAD MEDICARE | DA8539 | 01 |
| Street Address |
409 COVENTRY DR |
| City | PHILLIPSBURG |
| State | NJ |
| Zip Code | 08865-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144260175 | Mark T Grusso | Podiatrist | 409 Coventry Dr, Phillipsburg, NJ 08865-1969 | 2006-06-07 |
| 1356563340 | Marc Jason Berman | Podiatrist | 409 Coventry Dr, Phillipsburg, NJ 08865-1969 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1720586886 | Mariana Cristina De Martinez | Counselor | 865 Us Hwy 22 E, Phillipsburg, NJ 08865 | 2018-01-24 |
| 1205353448 | Unity for Developmental Disabilities | Case Management | 212 Summit Ave., Phillipsburg, NJ 08865 | 2017-08-28 |
| 1962954602 | Britt Deluca | Counselor | 865 Us Hwy 22, Phillipsburg, NJ 08865 | 2016-10-28 |
| 1235593302 | Angela Nicolosi | Counselor | 114 South 2nd Street, Phillipsburg, NJ 08865 | 2016-04-05 |
| 1952764698 | Future Project | Day Training, Developmentally Disabled Services | 469 South Main St, Phillipsburg, NJ 08865 | 2016-03-31 |
| 1336485333 | Weiss, Humanick Support Services, LLC | Supports Brokerage | 201 Strykers Crossing, Suite 19-187, Lapatacong, NJ 08865 | 2012-12-19 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1841571403 | Darlyn Benemerito Bawasanta | Occupational Therapist | 290 Red School Lane, Brakeley Park Center, Lopatcong, NJ 08865 | 2011-09-08 |
| 1720369614 | Erica B Gracia-cedeno | Counselor | 865 Us Highway 22, Phillipsburg, NJ 08865 | 2011-09-06 |
| Find all providers in zip 08865 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144260175 | Mark T Grusso | Podiatrist | 409 Coventry Dr, Phillipsburg, NJ 08865-1969 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1407461387 | Quality Foot and Ankle Center | Podiatrist | 87 Bruswick Wood Dr, East Brunswick, NJ 08816-5601 | 2020-09-09 |
| 1992323844 | Ventnor Wellness | Podiatrist | 6601 Ventnor Ave # Troy12, Ventnor City, NJ 08406-2167 | 2020-07-08 |
| 1891310967 | Kathryn Stoedter Dpm LLC | Podiatrist | 69 Haddonfield Berlin Rd, Cherry Hill, NJ 08034-3572 | 2020-06-14 |
| 1316560576 | Quality Foot Care Center LLC | Podiatrist | 25 Clyde Rd Ste 101, Somerset, NJ 08873-5038 | 2020-05-22 |
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1902437643 | Harsh Patel Dpm Pa | Podiatrist | 4991 Route 42 Ste 8a, Turnersville, NJ 08012-1750 | 2020-01-31 |
| 1619508355 | Harsh Patel Dpm Pa | Podiatrist | 1529 Route 206 Ste L-1, Tabernacle, NJ 08088-8801 | 2020-01-31 |
| 1154980944 | New Jersey Podiatric Physicians & Surgeons Group LLC | Podiatrist | 2477 Hwy 516 Ste 101, Old Bridge, NJ 08857-4603 | 2019-06-06 |
| 1972068575 | Kathryn Stoedter, Dpm, LLC | Podiatrist | 2301 E Evesham Rd Ste 508, Voorhees, NJ 08043-4506 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | PHILLIPSBURG |
| Zip Code | 08865 |
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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.