Individual provider Active NPI

Joshua David Grill, D.P.M.

  • Foot Surgery Podiatrist
  • Freehold, NJ
National Provider Identifier
1609988336
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD002665 Issued in NJ
Practice address
1 Dag Hammarskjold Blvd
Ste 5
Freehold, NJ 07728-5222
Phone
(732) 780-0769
Fax
(732) 414-7800
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005589 NY
Foot Surgery Podiatrist 213ES0131X MD002665 NJ Primary

Addresses

Primary practice location

1 Dag Hammarskjold Blvd
Ste 5
Freehold, NJ 07728-5222

Mailing address

1 Dag Hammarskjold Blvd
Ste 5
Freehold, NJ 07728-5222
Phone (732) 780-0769

Other identifiers 2

IdentifierTypeStateIssuer
02217701MedicaidNY
8774404MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000370 NJ Practitioner - Podiatry 0345222584 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Dag Hammarskjold Blvd
Suite 5
Freehold, NJ 07728-5222
Phone (732) 780-0769

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1956
Removal or shaving of skin growth624
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD002665NJMDFoot Surgery Podiatrist
N005589NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pampering Podiatrist Current Accepting new patients
Robert S Marcus DPM PastSince Nov 21, 2017 Accepting new patients
Tristate Podiatry P.C. Past Accepting new patients

Locations

1 Dag Hammarskjold Blvd
Ste 5
Freehold, NJ 07728
Phone (732) 780-0769

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1609988336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAG HAMMARSKJOLD BLVD",
            "address_2": "STE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285222",
            "telephone_number": "732-780-0769",
            "fax_number": "732-414-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAG HAMMARSKJOLD BLVD",
            "address_2": "STE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285222",
            "telephone_number": "732-780-0769",
            "fax_number": "732-414-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005589",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD002665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02217701",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8774404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.