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DR. JENNIFER GROSSMAN M.D.
NPI 1376801316
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 27, 2012PECOS Enrolled
100/100
CMS Quality Rating
3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2426 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jennifer Grossman M.d. NPPES

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

DR. JENNIFER GROSSMAN M.D. (NPI 1376801316) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376801316
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JENNIFER GROSSMANCredential: M.D.
Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403
Mailing Address3415 Bainbridge AveBronx, NY 10467-2403 · (718) 741-2426
Phone(718) 741-2426
Sole ProprietorYes
Enumeration DateApril 27, 2012
Last NPPES UpdateApril 23, 2015
✔ NPI 1376801316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3415 BAINBRIDGE AVE, Bronx, NY 10467
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Other Names 1

Former Name (1)Jennifer Polin M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Grossman M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Grossman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Maimonides Faculty Practice Plan
18 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Maimonides Medical Center - Mmc Emergency Physicians Fpp
18 mi
Emergency Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
NPI 1982708202 (718) 283-8773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 Jennifer Grossman's NPI number?

The NPI number for Jennifer Grossman is 1376801316. It was assigned to this individual provider in the NPPES registry on April 27, 2012. The provider is also known as Jennifer Polin M.D..

Where is Jennifer Grossman located?

Jennifer Grossman practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2426.

What is Jennifer Grossman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Grossman enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Grossman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Grossman reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Maimonides Faculty Practice Plan (Brooklyn, NY) and Maimonides Medical Center - Mmc Emergency Physicians Fpp (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Grossman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Grossman was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.