Jose Eligio Grullon, DPM
Individual provider Active NPI Podiatrist · Hellertown, PA
NPI 1750842811 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1750842811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- SC007452 (PA)
- Practice address
- 725 Easton Rd Ste 1
Hellertown, PA 18055-1502 - Phone
- (610) 838-6808
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pedirite Medical PA PLLC
Hellertown Family Foot Care, Inc.
Practice addresses (Care Compare)
313 W County Line Rd
Luther Woods Nursing and Rehabilitati
Hatboro, PA 19040-1102
Phone (212) 764-0008
725 Easton Rd
Suite 1
Hellertown, PA 18055-1502
Phone (610) 838-6808
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 448 |
| Removal or shaving of skin growth | 76 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220523001698 | NJ | Practitioner - Podiatry | 1759611676 | Practice locations: North Bergen, NJ |
| I20251106001065 | PA | Practitioner - Podiatry | 1759611676 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007452 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hellertown Family Foot Care, Inc. | Podiatrist | Current |
Accepting new patients |
| Jose Grullon DPM | Foot & Ankle Surgery | Current |
Accepting new patients |
| Pedirite Medical PA PLLC | Podiatrist | Current |
Accepting new patients |
| NJ Minimally Invasive Podiatric Surgery P.C. | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
6301 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 662-8700
1250 E Ridgewood Ave
Ste 11
Ridgewood, NJ 07450
Phone (201) 689-1900
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005
725 Easton Rd
#1
Hellertown, PA 18055
Phone (610) 838-6808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | SC007452 | PA | Yes |
Addresses
Primary practice location
725 Easton Rd Ste 1
Hellertown, PA 18055-1502
Mailing address
725 Easton Rd Ste 1
Hellertown, PA 18055-1502
Phone (610) 838-6808
Other providers in Hellertown, PA
- Emerich Chiropractic Associates, LLC
- Iain Fan
- Freedom Rehabilitation & Wellness
- Diane M Gagliano
- Tracey Gatchel
- Brian Scott Hagenbuch
- Asma Moustafa Mohamed Hassan
- Hellertown Dental Group
- Hellertown Family Foot Care, Inc.
- Here and Now LLC
All providers in Hellertown, PA · Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.