Individual provider Active NPI

Jose Eligio Grullon, DPM

  • Podiatrist
  • Hellertown, PA
National Provider Identifier
1750842811
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007452 Issued in PA
Practice address
725 Easton Rd Ste 1
Hellertown, PA 18055-1502
Phone
(610) 838-6808
NPI assigned
Mar 29, 2019
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X SC007452 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220523001698 NJ Practitioner - Podiatry 1759611676 Practice locations: North Bergen, NJ
I20251106001065 PA Practitioner - Podiatry 1759611676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 9830521913, 9 clinicians
Hellertown Family Foot Care, Inc.Group PAC ID 5597650408, 2 clinicians

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue448
Removal or shaving of skin growth76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007452PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hellertown Family Foot Care, Inc. Podiatrist CurrentSince Feb 2, 2026 Accepting new patients
NJ Minimally Invasive Podiatric Surgery P.C. Foot & Ankle Surgery CurrentSince Jul 24, 2022 Accepting new patients
Jose Grullon DPM Foot & Ankle Surgery CurrentSince Jan 29, 2022 Accepting new patients
Pedirite Medical PA PLLC Podiatrist CurrentSince Aug 25, 2025 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1750842811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 EASTON RD STE 1",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551502",
            "telephone_number": "610-838-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 EASTON RD STE 1",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180551502",
            "telephone_number": "610-838-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "JOSE",
        "middle_name": "ELIGIO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

Verify at the official NPI Registry.