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Contact Information

DEMETRIOS J GROSSOS, DPM
150 55TH ST
BROOKLYN, NY11220-2553
 Phone: 201-232-8170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEMETRIOS J GROSSOS · (Male)

NPI # 1598053944
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/19/2011
Last updated 08/31/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00326700
Hospital affiliation(s)
  • BAYSHORE COMMUNITY HOSPITAL - (Acute Care)
    727 N BEERS ST
    HOLMDEL, NJ 07733
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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