Joshua Grill DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00266500 Issued in NJ

Legal business name

JOSHUA GRILL DPM PC

Practice address

1 Dag Hammarskjold Blvd
Suite 5
Freehold, NJ 07728-5221

Phone

(732) 780-0769

Fax

(732) 414-7800

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Grill, D.P.M.

Title

President

Phone

(732) 780-0769

Specialties & licenses 1

Addresses

Other names 1

• Pampering Podiatrist Other name

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1891126884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAG HAMMARSKJOLD BLVD",
            "address_2": "SUITE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285221",
            "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": "SUITE 5",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285221",
            "telephone_number": "732-780-0769",
            "fax_number": "732-414-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA GRILL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "GRILL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-780-0769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00266500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pampering Podiatrist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatrist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.