Active NPI
Grand Chiropractic
- Chiropractor
- Logan TWP, NJ
National Provider Identifier
1023059755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00623400
- Legal business name
- GRAND CHIROPRACTIC
- Practice address
- 511 Beckett Rd
Logan TWP, NJ 08085-1548 - Phone
- (856) 467-3377
- Fax
- (856) 467-3370
- NPI assigned
- Jun 10, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Vernon Grandizio Jr., D.C.
- Title
- Owner
- Phone
- (856) 467-3377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00623400 | NJ | Primary |
Addresses
Primary practice location
511 Beckett Rd
Logan TWP, NJ 08085-1548
Mailing address
511 Beckett Rd
Logan TWP, NJ 08085-1548
Phone (856) 467-3377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
511 Beckett Rd
Swedesboro, NJ 08085
Phone (856) 241-2844
4515 Pennell Rd
Aston, PA 19014
Phone (610) 497-1928
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Quarryville, PA
- NPI 1568405074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023059755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BECKETT RD",
"city": "LOGAN TWP",
"state": "NJ",
"postal_code": "080851548",
"telephone_number": "856-467-3377",
"fax_number": "856-467-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 BECKETT RD",
"city": "LOGAN TWP",
"state": "NJ",
"postal_code": "080851548",
"telephone_number": "856-467-3377",
"fax_number": "856-467-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRANDIZIO",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-467-3377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00623400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan TWP, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.