Individual provider Active NPI

Anthony Grand, PA-C

  • Physician Assistant
  • Hackensack, NJ
National Provider Identifier
1669099149
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
360 Essex St Ste 203
Hackensack, NJ 07601-8566
Phone
(551) 996-8867
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

360 Essex St Ste 203
Hackensack, NJ 07601-8566

Mailing address

360 Essex St Ste 203
Hackensack, NJ 07601-8566
Phone (551) 996-8867

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000169 NJ Practitioner - Physician Assistant 3678986759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Metro Blvd
Clifton, NJ 07014-0010

20 Prospect Ave
Hackensack, NJ 07601-1999

30 Prospect Ave
Hackensack, NJ 07601-1915

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 868-6755

939 Kennedy Blvd
North Bergen, NJ 07047-1870
Phone (201) 864-2484

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jan 4, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 14, 2024 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Jan 4, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients

Locations

500 Barnegat Blvd N
Ste 200
Barnegat, NJ 08005
Phone (609) 488-3988

1640 Route 88 W
Ste 101
Brick, NJ 08724
Phone (732) 458-7866

1640 Route 88 W
Ste 203
Brick, NJ 08724
Phone (732) 458-7777

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

222 Schanck Rd
Ste 300
Freehold, NJ 07728
Phone (732) 431-2883

222 Schanck Rd
Ste 105
Freehold, NJ 07728
Phone (732) 431-3373

20 Prospect Ave
Ste 600
Hackensack, NJ 07601
Phone (201) 488-1036

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

360 Essex St
Ste 203
Hackensack, NJ 07601
Phone (551) 996-2533

2139 State Route 35
Ste 140
Holmdel, NJ 07733
Phone (732) 897-4800

294 Applegarth Rd
Ste C
Monroe, NJ 08831
Phone (609) 495-1888

1200 Eagle Ave
Ocean, NJ 07712

Interoperability endpoints

  • Direct secure messaging: anthony.grand@direct.hackensackmeridian.org
  • Direct secure messaging: agrand425155@direct.ahsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1669099149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST STE 203",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018566",
            "telephone_number": "551-996-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ESSEX ST STE 203",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076018566",
            "telephone_number": "551-996-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAND",
        "first_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.