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JEREMY GROSSMAN MD
NPI 1720548308
Internal Medicine in New York, NY

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
500 1ST AVE, NEW YORK, NY 10016(646) 929-7800 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2022, Mar 21, 2019 (2 updates tracked since 2019).

About Jeremy Grossman Md NPPES

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

JEREMY GROSSMAN MD (NPI 1720548308) is an individual internal medicine provider in New York, New York, licensed in New York (321880) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720548308
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEREMY GROSSMANCredential: MD
Location Address500 1ST AVENew York, NY 10016-9196
Mailing Address550 1st AveNew York, NY 10016-6402
Phone(646) 929-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1720548308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 321880
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 1ST AVE, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Grossman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577047398
PECOS Enrollment IDI20260422003412
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

2

Medicare enrollment records show Jeremy Grossman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
14 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
County Of Santa Clara
2,547 mi
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1922093533 (408) 885-5000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. NANDINI SABHARWAL PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 1ST AVE, NEW YORK LANGONE MEDICAL CENTER PHARMACY
NEW YORK, NY 10016
New York County (212) 263-5800
DR. AMBIKA TEJPAL MD
Internal Medicine (Critical Care Medicine)
500 1ST AVE
NEW YORK, NY 10016
New York County (519) 697-6331
ELISE PERLMAN M.D
Emergency Medicine (Pediatric Emergency Medicine)
500 1ST AVE, NYU LANGONE MEDICAL CENTER
NEW YORK, NY 10016
New York County (212) 263-5506
MRS. SHELIN SARA THOMAS NP
Nurse Practitioner (Acute Care)
500 1ST AVE
NEW YORK, NY 10016
New York County (347) 750-9289
MR. ARIF KODZA MD
Hospitalist
500 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
GAUTAMI GALPALLI MD
Student in an Organized Health Care Education/Training Program
500 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5506
MISS ELIZABETH ANN HOLMES
Student in an Organized Health Care Education/Training Program
500 1ST AVE
NEW YORK, NY 10016
New York County (704) 439-6972

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 Jeremy Grossman's NPI number?

The NPI number for Jeremy Grossman is 1720548308. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Jeremy Grossman located?

Jeremy Grossman practices at 500 1st Ave, New York, NY 10016. The listed phone number is (646) 929-7800.

What is Jeremy Grossman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeremy Grossman enrolled in Medicare?

Yes. Jeremy Grossman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Grossman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Grossman reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and County Of Santa Clara (Gilroy, CA). 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 Jeremy Grossman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeremy Grossman affiliated with any hospitals?

According to CMS data, Jeremy Grossman is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Grossman was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.