Active NPI
Joseph Grillo, D.C.
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1730240557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008136-1
- Practice address
- 359 Ovington Ave Apt C1
Brooklyn, NY 11209-1440 - Phone
- (347) 499-2100
- Fax
- (000) 000-0000
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008136-1 | NY | Primary |
Addresses
Primary practice location
359 Ovington Ave Apt C1
Brooklyn, NY 11209-1440
Mailing address
359 Ovington Ave Apt C1
Brooklyn, NY 11209-1440
Phone (347) 499-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008136-1 | NY | MD | Chiropractor |
| 008136 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1730240557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 OVINGTON AVE APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091440",
"telephone_number": "347-499-2100",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 OVINGTON AVE APT C1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091440",
"telephone_number": "347-499-2100",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLO",
"first_name": "JOSEPH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008136-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.