Laurence D Grogin, D.C., L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00222300 Issued in NJ

Practice address

936 Franklin Lakes Rd
Franklin Lakes, NJ 07417-1100

Phone

(201) 888-4946

Fax

(201) 847-0059

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Laurence D. Grogin

  • Chiropractor
  • Franklin Lakes, NJ
  • NPI 1790319424
  NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1891858353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 FRANKLIN LAKES RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172153",
            "telephone_number": "201-888-4946",
            "fax_number": "201-847-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 FRANKLIN LAKES RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171100",
            "telephone_number": "201-888-4946",
            "fax_number": "201-847-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROGIN",
        "first_name": "LAURENCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00019600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00222300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.