Dr. Mark Geoffery Grossman, MD
Orthopaedic Surgery, Sports Medicine in Garden City, NY. Individual provider (NPI-1).
Details
- NPI
- 1063402014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Geoffery Grossman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2005
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - SPORTS MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 224563 | NY | Yes |
| 207X00000X | Orthopaedic Surgery | 224563 | NY |
Practice location
1300 Franklin AveSuite Ul3a
Garden City, NY 11530-1886
Phone 516-747-8900 · Fax 516-663-8124
Mailing address
1300 Franklin AveSuite Ul3a
Garden City, NY 11530-1886
Phone 516-747-8900 · Fax 516-663-8124
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Garden City, NY
- Randy Marc Cohn, M.D.NPI 1013181890
- Ryan Krochak, M.D.NPI 1982993762
- Jeffrey Ethan Mait, M.D.NPI 1679863807
- Julian Joseph Sonnenfeld, M.D.NPI 1700273943
- Ioannis Christos Zouzias, M.D.NPI 1235372897
All 6 Sports Medicine (Orthopaedic Surgery) Physician providers in Garden City · All 2,578 providers in Garden City
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