DR. ERICA RACHEL GROSS M.D.
NPI 1083851737
Surgery - Pediatric Surgery in Stony Brook, NY
NPI Status: Active since January 17, 2009
Contact Information
100 NICOLLS RD
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-5437
- Individual
- Female
- Surgery
- Pediatric Surgery
- Accepts Insurance
- PECOS Enrolled
About ERICA GROSS
This page provides the complete NPI Profile along with additional information for Erica Gross, a provider established in Stony Brook, New York with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1083851737 assigned on January 2009. The practitioner's primary taxonomy code is 2086S0120X with license number 25MA11248400 (NJ). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1083851737
- Provider Name
- DR. ERICA RACHEL GROSS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 NICOLLS RD STONY BROOK, NY 11794
- Location Phone
- (631) 444-5437
- Mailing Address
- PO BOX 1559 STONY BROOK, NY 11790
- Mailing Phone
- (631) 444-2034
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-17-2009
- Last Update Date
- 11-03-2021
- Code Navigator
Location Map
Secondary Locations
- 9000 W Wisconsin Ave PEDIATRIC SURGERY
Milwaukee, WI 53226
(414) 266-6550
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA11248400
- License State
- NJ
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2086S0120X | Allopathic & Osteopathic Physicians | Surgery | 60942 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Erica Gross is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. ERICA RACHEL GROSS M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083851737, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083851737, enumerated as an "individual" on January 17, 2009.
The provider is located at 100 NICOLLS RD STONY BROOK, NY 11794 and the phone number is (631) 444-5437.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.
