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Export Provider Record NPI 1073575460
Megan M GrossoPA
Active
NPI Number1073575460
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1073575460
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-03
Last Updated2010-05-06
Mailing Address90 Presidential Plz, 4th Floor
Syracuse, NY 13202-2240
United States
Phone: (315) 464-4243 | Fax: (315) 464-5350
📍 View Map
Primary Practice Address90 Presidential Plz, 4th Floor
Syracuse, NY 13202-2240
United States
Phone: (315) 464-4243 | Fax: (315) 464-5350
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY02877383
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantNY011709
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About NPI 1073575460

Megan M Grosso PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073575460. The primary specialty listed is Physician Assistant. The provider is located in Syracuse, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073575460?

NPI 1073575460 belongs to Megan M Grosso PA, a Physician Assistant in Syracuse, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073575460 active?

The current status of NPI 1073575460 in the NPPES registry is Active. The record was last updated on 2010-05-06.

What specialty is NPI 1073575460?

NPI 1073575460 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073575460?

You can verify NPI 1073575460 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073575460?

The primary practice address on file for NPI 1073575460 is 90 Presidential Plz, Syracuse, NY 13202-2240. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073575460 issued?

NPI 1073575460 was first issued (enumerated) on 2006-04-03. The NPPES record was last updated on 2010-05-06.

Practice Location Map

Megan M Grosso is located at 90 Presidential Plz, Syracuse, NY. Use the map below to find directions or verify the practice location.

📍 90 Presidential Plz, Syracuse, NY 13202-2240  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Megan M Grosso. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073575460. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant011709NY
Data Verified from CMS NPPES Last synced: 2026-06-19 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162