| Igor Grosman, | |
|
570 South Ave E Unit A, Cranford, NJ 07016-3200 | |
| (908) 272-7990 | |
| (908) 272-7990 |
| Full Name | Igor Grosman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 570 South Ave E Unit A, Cranford, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689221590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanguard Medical Group Pa | 5092751842 | 59 |
| Entity Name | Vanguard Medical Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073674412 PECOS PAC ID: 5092751842 Enrollment ID: O20050701000022 |
| Entity Name | Capital Health Multispecialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Igor Grosman, 570 South Ave E Unit A, Cranford, NJ 07016-3200 Ph: (908) 272-7990 | Igor Grosman, 570 South Ave E Unit A, Cranford, NJ 07016-3200 Ph: (908) 272-7990 |
Meghan Sue Fullarton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 570 South Ave E Bldg A, Cranford, NJ 07016 Phone: 908-603-4200 Fax: 908-497-1633 |
Nikoletta Antczak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 570 South Ave E, Bldg G, Unit A, Cranford, NJ 07016 Phone: 908-272-7990 Fax: 833-488-1207 |
Jamie Lynn Neville Fernandes, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 W End Pl, Cranford, NJ 07016 Phone: 201-407-6459 |
Marie Gawronski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 570 South Avenue East, Building G, Unit A, Cranford, NJ 07016 Phone: 908-272-7990 Fax: 908-272-7970 |
Aiden Cascio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 570 South Ave E Bldg G Unit A, Cranford, NJ 07016 Phone: 908-272-7990 Fax: 833-488-1207 |
Nicholas J Petriella, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 198 North Ave E, Cranford, NJ 07016 Phone: 908-967-6124 Fax: 908-967-6126 |