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Damaris Grossmann, APRN, DNP , FNP-C

Nurse Practitioner, Family in Rutherford, NJ. Individual provider (NPI-1).

NPI number1114320710
StatusActive
Last updated in NPPESOct 21, 2025

Details

NPI
1114320710
Entity type
Individual (NPI-1)
Name
Prof. Damaris Grossmann
Credential
APRN, DNP , FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2014
Certification date
Oct 21, 2025
Last updated
Oct 21, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ00848400NJYes
363L00000X Nurse Practitioner26700848400NJ
163WG0000X Registered Nurse, General Practice26nr16088800NJ

Practice location

150 Santiago Ave
Rutherford, NJ 07070-1640

Phone 732-501-8349

Mailing address

150 Santiago Ave
Rutherford, NJ 07070-1640

Phone 732-501-8349

Is something wrong?

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 Family Nurse Practitioner providers in Rutherford, NJ

All 5 Family Nurse Practitioner providers in Rutherford · All 436 providers in Rutherford

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