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JOSE GRULLON DPM
NPI 1396456836
Podiatrist - Foot & Ankle Surgery in North Bergen, NJ

Active since December 06, 2022
6301 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 662-8700(201) 453-8075 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Grullon Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE GRULLON DPM (NPI 1396456836) is a healthcare organization registered as a foot & ankle surgery in North Bergen, New Jersey and active in the NPI registry since December 2022. The organization lists Mehtab Abbasi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396456836
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJOSE GRULLON DPM
Location Address6301 KENNEDY BLVDNorth Bergen, NJ 07047-3420
Mailing Address6301 Kennedy BlvdNorth Bergen, NJ 07047-3420 · (201) 662-8700 · Fax (201) 453-8075
Phone(201) 662-8700
Fax(201) 453-8075
Organization SubpartNo
Authorized OfficialMehtab AbbasiOffice Manager · (917) 336-8422
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1396456836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
6301 KENNEDY BLVD, North Bergen, NJ 07047
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDY AMADOR DPM
Podiatrist
6301 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Hudson County (201) 662-8700
QIYUN JIANG
Podiatrist (Foot & Ankle Surgery)
6301 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Hudson County (201) 662-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Grullon Dpm's NPI number?

The NPI number for Jose Grullon Dpm is 1396456836. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Jose Grullon Dpm located?

Jose Grullon Dpm is located at 6301 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 662-8700.

What is Jose Grullon Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jose Grullon Dpm was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.