Organization Active NPI

Grano Chiropractic Center of Andover, LLC

  • Respite Care
  • Newton, NJ
National Provider Identifier
1093915985
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
38MC00635500NJ Issued in NJ
Legal business name
GRANO CHIROPRACTIC CENTER OF ANDOVER, LLC
Practice address
61 Newton Sparta Rd
Newton, NJ 07860-2745
Phone
(973) 383-5533
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Michael Grano, D. C. ,CCSPNPI 1598806556
Title
Doctor/Owner
Phone
(973) 383-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 38MC00635500NJ NJ Primary

Addresses

Primary practice location

61 Newton Sparta Rd
Newton, NJ 07860-2745

Mailing address

61 Newton Sparta Rd
Newton, NJ 07860-2745
Phone (973) 383-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070904000547 NJ Part B Supplier - Clinic/Group Practice 9032202221 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, NJ

National Provider Directory

National Provider Directory

Locations

61 Newton Sparta Rd
Newton, NJ 07860
Phone (973) 383-5533

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1093915985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602745",
            "telephone_number": "973-383-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 NEWTON SPARTA RD",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602745",
            "telephone_number": "973-383-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANO CHIROPRACTIC CENTER OF ANDOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "GRANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "973-383-5533",
        "authorized_official_credential": "D. C. ,CCSP"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NJ",
            "license": "38MC00635500NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.

Verify at the official NPI Registry.