Juan C Grana, DC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

18202 Issued in NJ

Practice address

1115 Globe Ave
Mountainside, NJ 07092-2903

Phone

(908) 561-8888

Fax

(908) 222-3481

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sarahcare@Watchung Square

  • Adult Day Care Clinic/Center
  • North Plainfield, NJ
  • NPI 1962602912
  NPD (past) Authorized official

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1508385600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARY ELLEN DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201108",
            "telephone_number": "908-591-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GLOBE AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922903",
            "telephone_number": "908-561-8888",
            "fax_number": "908-222-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "18202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153371",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0540471",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devonna I. Gonsalves, LCSW
• Cintya Gonzalez, LAC
• Najah R. Goodman, NP
• Laura Gorelick, LPC
• Ave O Gozo, MD
• Aimee Gross, LCSW
• Alexandra B Grundleger, PHD
• Amie C Gustavson, MS, CCC-SLP
• Alexandra Gutleber, M.S., CCC-SLP
• Elizabeth Ann Hack, PT, DPT

• Adult Day Care Clinic/Center in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.