Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Igor Grosman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689221590

Igor Grosman is a Physician Assistant in Cranford, New Jersey. Qualified in 2019, 7 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

570 S Ave E Unit A
Cranford, NJ 07016-3200
Phone: (908) 272-7990
Fax: (908) 272-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689221590
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing address570 South Ave E Unit A, Cranford, NJ 07016-3200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vanguard Medical Group Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cranford