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DR. WENDY LYNN GROSSMAN DPM
NPI 1124194410
Podiatrist - Sports Medicine in Bloomfield, NJ

Active since November 28, 2006PECOS Enrolled
905 BROAD ST, BLOOMFIELD, NJ 07003(973) 566-0811(973) 566-0833 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wendy Lynn Grossman Dpm NPPES

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

DR. WENDY LYNN GROSSMAN DPM (NPI 1124194410) is an individual sports medicine provider in Bloomfield, New Jersey, licensed in New Jersey (25MD00230300) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124194410
Entity TypeIndividualFemale
Primary Taxonomy213ES0000X
Provider Legal NameDR. WENDY LYNN GROSSMANCredential: DPM
Location Address905 BROAD STBloomfield, NJ 07003-2869
Mailing Address905 Broad StBloomfield, NJ 07003-2869 · (973) 566-0811 · Fax (973) 566-0833
Phone(973) 566-0811
Fax(973) 566-0833
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1124194410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in NJ · 25MD00230300
905 BROAD ST, Bloomfield, NJ 07003
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Other Identifiers 3

Medicaid6641601NJ
Medicare ID-Type UnspecifiedGR788674NJ
Medicare UPINU56738NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wendy Lynn Grossman Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Wendy Grossman's NPI number?

The NPI number for Wendy Grossman is 1124194410. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Wendy Grossman located?

Wendy Grossman practices at 905 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 566-0811.

What is Wendy Grossman's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Is Wendy Grossman enrolled in Medicare?

Yes. Wendy Grossman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wendy Grossman was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.