Active NPI
Joshua D. Grill
- Durable Medical Equipment & Medical Supplies
- Manalapan, NJ
National Provider Identifier
1497926828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MD002665
- Legal business name
- JOSHUA D. GRILL
- Practice address
- 100 Craig Rd
Suite 205a
Manalapan, NJ 07726-8787 - Phone
- (732) 829-2495
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Grill
- Title
- Manager
- Phone
- (732) 259-6746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD002665 | NJ | Primary |
Addresses
Primary practice location
100 Craig Rd
Suite 205a
Manalapan, NJ 07726-8787
Mailing address
306 Congressional Dr
Morganville, NJ 07751-2610
Phone (732) 526-7340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930049426 | NJ | DME Supplier - Physician - Podiatry | 7113131699 | Practice locations: Freehold, NJ |
National Provider Directory
National Provider DirectoryLocations
100 Craig Rd
Ste 205A
Manalapan, NJ 07726
Phone (732) 866-9922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205366400000",
"number": "1497926828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CONGRESSIONAL DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077512610",
"telephone_number": "732-526-7340",
"fax_number": "732-526-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRAIG RD",
"address_2": "SUITE 205A",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077268787",
"telephone_number": "732-829-2495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA D. GRILL",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A",
"authorized_official_last_name": "GRILL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-259-6746"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "MD002665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.