Jose Grullon DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JOSE GRULLON DPM

Practice address

6301 Kennedy Blvd
North Bergen, NJ 07047-3420

Phone

(201) 662-8700

Fax

(201) 453-8075

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mehtab Abbasi

Title

Office Manager

Phone

(917) 336-8422

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Jose Eligio Grullon, DPM

  • Podiatrist
  • Hellertown, PA
  • NPI 1750842811

  Foot & Ankle Surgery

  NPD
• Sandy Amador, DPM

  • Podiatrist
  • North Bergen, NJ
  • NPI 1235125238
  NPD (past)
• Qiyun Jiang

  • Foot & Ankle Surgery Podiatrist
  • North Bergen, NJ
  • NPI 1811576895
  NPD (past)

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1396456836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473420",
            "telephone_number": "201-662-8700",
            "fax_number": "201-453-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473420",
            "telephone_number": "201-662-8700",
            "fax_number": "201-453-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GRULLON DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "MEHTAB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-336-8422"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qiyun Jiang
• Casey Jones, PA
• Nicole Jordan, M.D.
• Arravele Bonafe Jornales
• Jose B Munin MD PA
• Juan C. Alonso,DMD
• Mohammad Jurri, MD
• Ahmed Kahla, MBBS
• Mark Mohsen Nady Kamel, MD
• Yan Ke, PHARMD

• Foot & Ankle Surgery Podiatrist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.