DR. JUAN C GRANA DC NPI 1508385600

NPI Information

NPI: 1508385600
Provider Name: DR. JUAN C GRANA, DC
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
1115 GLOBE AVE
MOUNTAINSIDE, NJ
ZIP 07092
Phone: (908) 561-8888
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DR. Juan C Grana, DC is an adult day care clinic center in Mountainside, NJ. DR. Juan C Grana, DC NPI is 1508385600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1115 GLOBE AVE
MOUNTAINSIDE, NJ
ZIP 07092-903
Phone: (908) 561-8888
Fax: (908) 222-3481

The enumeration date for this NPI number is 9/11/2017 and was last updated on 6/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	18202	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0153371	MEDICAID	NEW JERSEY
2	0540471	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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