Active NPIOrganization

Jose Grullon DPM

Podiatrist, Foot & Ankle Surgery in North Bergen, New Jersey

NPI Number1396456836
Practice location
6301 Kennedy Blvd, North Bergen, NJ 07047-3420
Fax
201-453-8075
Last updated
December 6, 2022

Jose Grullon DPM is a healthcare organization based in North Bergen, NJ. Jose Grullon DPM practices in North Bergen, NJ. The NPI Number for Jose Grullon DPM is 1396456836. The current practice location address for Jose Grullon DPM is 6301 Kennedy Blvd, North Bergen, NJ 07047-3420 and can be reached out via phone at 201-662-8700 and via fax at 201-453-8075.

Provider Profile Details

NPI Number
1396456836
Provider Name
Jose Grullon DPM
Provider Entity Type
Organization
Address
6301 Kennedy Blvd, North Bergen, NJ 07047-3420
Phone Number
201-662-8700
Fax Number
201-453-8075
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Mehtab Abbasi · Office Manager · 917-336-8422
Provider Enumeration Date
December 6, 2022
Last Update Date
December 6, 2022
Certification Date
December 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6301 Kennedy Blvd
North Bergen, NJ 07047-3420
Zip
07047-3420
Phone Number
201-662-8700
Fax Number
201-453-8075
North Bergen, NJ 07047Get directions →

Provider Business Mailing Address Details

Address
6301 Kennedy Blvd
North Bergen, NJ 07047-3420
City
North Bergen
State
NJ
Zip
07047-3420
Phone Number
201-662-8700
Fax Number
201-453-8075

License Information

Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jose Grullon DPM?

The NPI number of Jose Grullon DPM is 1396456836. It was assigned on December 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Jose Grullon DPM?

Jose Grullon DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X).

Where does Jose Grullon DPM practice?

The practice location is 6301 Kennedy Blvd, North Bergen, NJ 07047-3420. The office can be reached at 201-662-8700 (phone) or 201-453-8075 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396456836 directly on the NPPES registry website.

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