Individual provider Active NPI

Francis Vernon Grandizio Jr., D.C.

  • Chiropractor
  • Aston, PA
National Provider Identifier
1902808504
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004946L Issued in PA
Practice address
4515 Pennell Rd
Aston, PA 19014-3020
Phone
(610) 497-1928
Fax
(610) 497-6755
NPI assigned
Aug 12, 2005
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004946L PA Primary

Addresses

Primary practice location

4515 Pennell Rd
Aston, PA 19014-3020

Mailing address

4515 Pennell Rd
Aston, PA 19014-3020
Phone (610) 497-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050511000574 PA Practitioner - Chiropractic 3476593260 Practice locations: Aston, PA
I20050519000732 NJ Practitioner - Chiropractic 3476593260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 Beckett Rd
Logan TWP, NJ 08085-1865
Phone (856) 467-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Chiropractic Chiropractor CurrentSince May 1, 2005 Accepting new patients
Dr.Hilli Family Practice and Wellness Center PastSince May 1, 2005 Accepting new patients

Locations

511 Beckett Rd
Swedesboro, NJ 08085
Phone (856) 241-2844

4515 Pennell Rd
Aston, PA 19014
Phone (610) 497-1928

Organizations & group practices 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1902808504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190143020",
            "telephone_number": "610-497-1928",
            "fax_number": "610-497-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PENNELL RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190143020",
            "telephone_number": "610-497-1928",
            "fax_number": "610-497-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIZIO",
        "first_name": "FRANCIS",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004946L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.