Katherine Rocio Perez Grullon, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

872996 Issued in NY

Practice address

36 Ethel Ave
Hawthorne, NJ 07506-2125

Phone

(305) 744-2657

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1053016584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ETHEL AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062125",
            "telephone_number": "305-744-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ETHEL AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062125",
            "telephone_number": "305-744-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GRULLON",
        "first_name": "KATHERINE",
        "middle_name": "ROCIO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "872996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ortiz
• Joseph Paladino, LCSW
• Anthony Michael Pallotta, DDS PA
• Amanda Parsons, BCBA
• Kaushik N Patel, DDS
• Kelli A Petit, NUTRITIONIST
• Alison Petix
• Nathan J Plaskett, DO
• Nicole Marie Procopio, PA-C
• Tanya S Reams

• Home Health Registered Nurse in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Home Health Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.