Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Geoffery Grossman, MD

Individual provider Orthopaedic Surgery Physician · NPI 1063402014

Dr. Mark Geoffery Grossman, MD is a Sports Medicine in Garden City, New York. Qualified in 1992, 34 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 Franklin Ave Ste UL3A
Garden City, NY 11530-1886
Phone: (516) 747-8900
Fax: (516) 663-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 224563 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 224563 (NY)

Record details

NPI number1063402014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 21, 2005
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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