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

Myles Grossman

Individual provider Podiatrist · NPI 1417950866

Myles Grossman is a Podiatry in Merrick, New York. Graduated from New York College of Podiatric Medicine in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

2174 Hewlett Ave Ste 202
Merrick, NY 11566-3620
Phone: (516) 379-2560
Fax: (516) 546-8845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence N004096 (NY)

Record details

NPI number1417950866
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2005
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address2174 Hewlett Ave Ste 202, Merrick, NY 11566-3620

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Merrick