Active NPI
Philip C Grivas, DC
- Chiropractor
- Red Bank, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00577300
- Practice address
- 258 NJ 35 South
Red Bank, NJ 07701 - Phone
- (732) 593-9962
- NPI assigned
- Jul 14, 2006
- Last updated
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00577300 | NJ | Primary |
Addresses
Primary practice location
258 NJ 35 South
Red Bank, NJ 07701
Mailing address
258 NJ 35 South
Red Bank, NJ 07701
Phone (732) 593-9962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
258 NJ 35
Red Bank, NJ 07701
Phone (732) 593-9962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00577300 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Chiropractic Group PC | Chiropractor | Current | Accepting new patients |
Locations
1126 State Route 35
Middletown, NJ 07748
Phone (732) 593-9962
2345 Route 66
Ocean, NJ 07712
Phone (732) 493-0110
258 State Route 35
Red Bank, NJ 07701
Phone (732) 221-4074
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Red Bank, NJ
- NPI 1881722460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1417973702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 NJ 35 SOUTH",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-593-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 NJ 35 SOUTH",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-593-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIVAS",
"first_name": "PHILIP",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00577300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.