Grossmann, Damaris

Grossmann, Damaris is an sole proprietor health care provider with primary practice located at 150 Santiago Ave , Rutherford NJ 07070-1640. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grossmann, Damaris can be contacted via phone (732) 501-8349.

Contact Information

Primary practice address
150 Santiago Ave Rutherford NJ 07070-1640
Phone: (732) 501-8349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26700848400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00848400 New Jersey
Nursing Service Providers / General Practice 163WG0000X 26NR16088800 New Jersey

Profile Details

NPI number 1114320710
LBN Legal business name Grossmann, Damaris
Credentials APRN, DNP , FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2014
Last updated Feb 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114320710 NPPES
New Jersey MEDICAID 1114320710

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