MEDICARE: GROSSMAN F & A PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1861004368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROSSMAN F & A PC

Provider Business Mailing Address
First Line	:	10 MCKINLEY ST STE 15
Second Line	:
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2726
Country	:	US
Telephone Number	:	201-979-3050
Fax Number	:	469-259-7524

Provider Business Practice Location Address
First Line	:	10 MCKINLEY ST STE 15
Second Line	:
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2726
Country	:	US
Telephone Number	:	201-979-3050
Fax Number	:	469-259-7524

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LAUREN GROSSMAN
Credential	:	DPM
Telephone Number	:	201-979-3050

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	12/08/2025

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Directions to “GROSSMAN F & A PC ” Practice Location

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