Dr. Evan B Grossman, M.D.

Internal Medicine, Gastroenterology in New York, NY. Individual provider (NPI-1).

NPI number1932367331

StatusActive

Last updated in NPPESJan 8, 2025

Details

NPI: 1932367331
Entity type: Individual (NPI-1)
Name: Dr. Evan B Grossman
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 2, 2008
Certification date: Jan 3, 2025
Last updated: Jan 8, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GASTROENTEROLOGY
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
207RG0100X	Internal Medicine, Gastroenterology	60 241052	NY	Yes

Practice location

1283 York Avenue
9th Floor
New York, NY 10065

Phone 646-962-4463

Mailing address

1283 York Avenue
9th Floor
New York, NY 10065

Phone 646-962-4463

Is something wrong?

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