Evan Walter Grunder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00777800 Issued in NJ

Practice address

720 Monroe St Ste C208
Hoboken, NJ 07030-6350

Phone

(201) 535-2476

NPI assigned

Jan 29, 2021

Sex

Male

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Coast Spine Joint and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1194904730

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1467043646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 ANN ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242606",
            "telephone_number": "607-242-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONROE ST STE C208",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306350",
            "telephone_number": "201-535-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDER",
        "first_name": "EVAN",
        "middle_name": "WALTER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00777800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Grill
• Whitney Grimm
• Kimberly I Groen, DO
• Grow Healthcare Group of New Jersey PC
• Growing Milestones Pediatric Therapy LLC
• Devin Grupe, M.D.
• Vanessa Guedes, MSW, LSW
• Marla Faith Guglberger, LCSW
• Priyanka Gumaste, M.D.
• Alvaro M Gutierrez, MD

• Chiropractor in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.