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Deactivated NPI 1720190473 Deactivated / Inactive NPI Male Practitioner

Dr. Edward S Gross , MD

Pediatrics • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Gross has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date September 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Gross, MD was a registered Pediatrics practicing in Boston, MA. Throughout an active medical career spanning 17 years, Dr. Gross provided care at the practice location at 300 LONGWOOD AVE until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

300 Longwood Ave

Boston, MA 021155724

Telephone 6173557701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.8 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
848 Specialists

Practicing in Boston, MA (2760 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 31767

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Holly Leith , CPNP

Nurse Practitioner - Pediatrics

NPI 1023334786

Certified Pediatric Nurse Practitioner

Dr. Neeraj Surana , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1053578054

Doctor of Medicine (M.D.)

NPI 1073622635

Doctor of Medicine (M.D.)

NPI 1083865885

Doctor of Medicine (M.D.)

NPI 1134418031

Doctor of Medicine (M.D.)

Dr. Zameneh Mikhak , MD

Pediatrics - Pediatric Allergy/Immunology

NPI 1184651036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active August 14, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 14, 2007

Registered at 300 LONGWOOD AVE, BOSTON, MA 021155724 (Tel: 6173557701)

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Updated Business Mailing Address August 14, 2007

Registered at 9 WIGWAM RD, FALMOUTH, MA 025401946 (Tel: 5084579040)

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Provider Name / Credentials Updated August 14, 2007

Recorded as EDWARD GROSS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2007

Pediatrics (License #31767 in MA)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720190473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: August 14, 2007
Deactivation Date: September 13, 2023

Mailing Address

9 Wigwam Rd

Falmouth, MA 025401946

Phone: 5084579040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.