Niurka E Grullon, SOLE PROPRIETARY

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

1619498221 Issued in NY

Practice address

9 Orchard St FL 2
Lodi, NJ 07644-3112

Phone

(917) 736-0265

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1386352334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ORCHARD ST FL 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443112",
            "telephone_number": "917-736-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ORCHARD ST FL 2",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076443112",
            "telephone_number": "917-736-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "NIURKA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "SOLE PROPRIETARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NY",
            "license": "1619498221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF EDUCATION",
            "identifier": "K1011146501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOE",
            "identifier": "K1011146501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nabil Gerges
• Charlotte J Gibbs, NCTMB
• Scott Alan Goler, D.P.M.
• Timothy Greendyk
• Arthur Greyf, DDS
• Brendan Guarino, PSYD
• Guido & Bair, L.L.C.
• Preeti P Guido, D.M.D.
• Hackensack Meridian Ambulatory Care, Inc. (Hackensack Meridian at Home Infusion)
• Kelly H Hahn, ACP

• Assistant Behavior Analyst in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Assistant Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.