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NICOLE LOREN GROSSBARD FNP
NPI 1023614658
Nurse Practitioner in River Edge, NJ

Active since December 09, 2020
63 GRAND AVE STE 137, RIVER EDGE, NJ 07661(201) 696-2646(201) 485-6570 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2021, Dec 9, 2020 (2 updates tracked since 2020).

About Nicole Loren Grossbard Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LOREN GROSSBARD FNP (NPI 1023614658) is an individual nurse practitioner in River Edge, New Jersey, licensed in New Jersey (26NR22658200) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1023614658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE LOREN GROSSBARDCredential: FNP
Location Address63 GRAND AVE STE 137River Edge, NJ 07661-1930
Mailing Address41 Brownstone Way Apt 209Englewood, NJ 07631-1211 · (845) 558-7229
Phone(201) 696-2646
Fax(201) 485-6570
Sole ProprietorYes
Enumeration DateDecember 9, 2020
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1023614658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NR22658200
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 717409 (NY)
63 GRAND AVE STE 137, River Edge, NJ 07661
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAN LANDMANN MD LLC
Ophthalmology
63 GRAND AVE STE 137
RIVER EDGE, NJ 07661
Bergen County (201) 606-2646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Grossbard's NPI number?

The NPI number for Nicole Grossbard is 1023614658. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Nicole Grossbard located?

Nicole Grossbard practices at 63 Grand Ave Ste 137, River Edge, NJ 07661. The listed phone number is (201) 696-2646.

What is Nicole Grossbard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nicole Grossbard was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.