Nicole Granert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00795000 Issued in NJ

Practice address

1000 S Maple Ave
Glen Rock, NJ 07452-2821

Phone

(201) 389-6900

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maple Chiropractic

  • Chiropractor
  • Glen Rock, NJ
  • NPI 1386327708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1922794460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522821",
            "telephone_number": "201-389-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S MAPLE AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522821",
            "telephone_number": "201-389-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANERT",
        "first_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00795000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Anne Glass, PTA
• Glen Rock Pediatrics, PC
• Glen Rock Physical Therapy and Sports Rehabilitation, Inc (Glen Rock Physical Therapy & Sports Rehabilitation)
• Jacquelyn Gnassi, LAC
• Eric Gonzalez, OTR/L
• Csilla Greiner, LPC
• GRM Pharmacy, LLC (Glen Rock Medical Pharmacy)
• GRM Pharmacy, LLC
• Group Orthopedics LLC
• Tamar Gruenbaum, D.D.S

• Chiropractor in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.