MS. DEBRA ANN GROSSANO (NPI# 1407885072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885072 |
| Entity Type | Individual |
| Full Name | MS. DEBRA ANN GROSSANO |
| Credential | RD |
| Practice Address |
725 River Rd Suite 106 Edgewater NJ 07020-1171 |
| Mailing Address |
446 Radcliffe St Wyckoff NJ 07481-3062 |
| Practice Telephone | 2016159139 |
| Practice Fax Number | 8663913047 |
| Mailing Telephone | 2016159139 |
| Mailing Fax Number | 8663913047 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 005443 | NY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HORIZON | 132845837 | 01 |
| NY | USHC | 2951435 | 01 |
| NY | GHI | 8000237 | 01 |
| NY | PHCS | 132845837 | 01 |
| NY | BLUECROSS | 9074E1 | 01 |
| NY | ATLANTIS | GD5443 | 01 |
| NY | HIP | 005443 | 01 |
| NY | BEECHSTREET | 132845837 | 01 |
| NY | UNITED | 2220176 | 01 |
| NY | HEALTHNET | 3C6516 | 01 |
| NY | OXFORD | P2679923 | 01 |
| NY | CIGNA | 8672922003 | 01 |
| NY | AETNA | 7380369 | 01 |
| NY | MULTIPLAN | 132845837 | 01 |
| Street Address |
725 RIVER RD SUITE 106 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134179625 | Clinical Neurophysiology & Epilepsy PC | Psychiatry & Neurology | 725 River Rd, Suite.106, Edgewater, NJ 07020-1171 | 2006-05-12 |
| 1952852709 | Five Element Rehab, LLC | Chiropractor | 725 River Rd, Suite 201, Edgewater, NJ 07020-1171 | 2016-10-17 |
| 1033567151 | Riverview Pain and Spine Institute PC | Non-Pharmacy Dispensing Site | 725 River Rd, Suite 201a, Edgewater, NJ 07020-1171 | 2016-05-31 |
| 1073978730 | Neurohab | Clinic/Center | 725 River Rd, Suite 58, Edgewater, NJ 07020-1171 | 2015-12-23 |
| 1972996254 | Riverview Pain and Spine Institute PC | Pain Medicine | 725 River Rd, Suite 201, Edgewater, NJ 07020-1171 | 2015-03-11 |
| 1215346218 | Adam Alex, LLC | Family Medicine | 725 River Rd, Suite 27, Edgewater, NJ 07020-1171 | 2014-08-05 |
| 1942618806 | Samuel Kim | Dentist | 725 River Rd, 53, Edgewater, NJ 07020-1171 | 2014-07-23 |
| 1619391729 | Comprehensive Allergy and Asthma Care | Allergy & Immunology | 725 River Rd, Suite 208, Edgewater, NJ 07020-1171 | 2014-02-10 |
| 1578998092 | Michael Pomykala | Physical Therapist | 725 River Rd, Suite 60, Edgewater, NJ 07020-1171 | 2013-09-04 |
| 1205272242 | New Jersey Spine and Pain, PC | Pain Medicine | 725 River Rd, Suite 32-107, Edgewater, NJ 07020-1171 | 2013-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846429 | Berna Ozcelik | Dietitian, Registered | 225 The Promenade, Edgewater, NJ 07020-2113 | 2020-06-22 |
| 1629691084 | Laura Fischer | Dietitian, Registered | 23 Marquis Ct, Edgewater, NJ 07020-2900 | 2020-05-20 |
| 1619463049 | Mary Doerschner | Dietitian, Registered | 2826 Fennel Rd, Edgewater, MD 21037-1142 | 2018-07-09 |
| 1497013320 | Lara Lynne Clevenger | Dietitian, Registered | 3588 Omni Cir, Edgewater, FL 32141-7114 | 2012-04-28 |
| 1992071575 | Mary E. Curtiss | Dietitian, Registered | 104 W. Knapp Ave, Edgewater, FL 32132 | 2012-03-28 |
| 1982221719 | Foodology | Dietitian, Registered | 23 Marquis Ct, Edgewater, NJ 07020-2900 | 2020-06-27 |
| 1104363605 | Omni Nutrition, LLC | Dietitian, Registered | 3588 Omni Cir, Edgewater, FL 32141-7114 | 2017-01-23 |
| 1912344573 | Kelly Koons | Dietitian, Registered | 109 W Knapp Ave, Edgewater, FL 32132-1555 | 2013-05-22 |
| 1023322310 | Stephanie L Stratton-boone | Dietitian, Registered | 109 W Knapp Ave, Edgewater, FL 32132-1555 | 2010-07-29 |
| 1770802621 | Danielle Press | Dietitian, Registered | 725 River Rd, Suite Number 106, Edgewater, NJ 07020-1171 | 2010-05-18 |
| Find all providers in EDGEWATER | ||||
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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.