Organization Active NPI

Joshua D. Grill

  • Durable Medical Equipment & Medical Supplies
  • Manalapan, NJ
National Provider Identifier
1497926828
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD002665 Issued in NJ
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

Updated by the provider on Mar 13, 2008

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930049426 NJ DME Supplier - Physician - Podiatry 7113131699 Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.