JOSE ELIGIO GRULLON DPM
NPI 1750842811
Podiatrist - Foot & Ankle Surgery in Nazareth, PA

NPI Status: Active since March 29, 2019

Contact Information

173 KINGSBURY CT
NAZARETH, PA
ZIP 18064
Phone: (201) 598-1184

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  • Individual
  • Male
  • Podiatrist
  • Foot & Ankle Surgery
  • PECOS Enrolled

About JOSE GRULLON

This page provides the complete NPI Profile along with additional information for Jose Grullon, a provider established in Nazareth, Pennsylvania with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1750842811 assigned on March 2019. The practitioner's primary taxonomy code is 213ES0103X with license number 25MD00364400 (NJ). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1750842811
Provider Name
JOSE ELIGIO GRULLON DPM
Gender
Male
Entity Type
Individual
Location Address
173 KINGSBURY CT NAZARETH, PA 18064
Location Phone
(201) 598-1184
Mailing Address
173 KINGSBURY CT NAZARETH, PA 18064
Mailing Phone
(201) 598-1184
Is Sole Proprietor?
Yes
Enumeration Date
03-29-2019
Last Update Date
06-09-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
25MD00364400
License State
NJ

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Jose Grullon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750842811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100164482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 4 + 4 + 8 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750842811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285369272NJ MINIMALLY INVASIVE PODIATRIC SURGERY P.C.
Organization
Podiatrist (Foot & Ankle Surgery)173 KINGSBURY CT
NAZARETH, PA 18064
(201) 701-1595

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750842811, enumerated in the NPI registry as an "individual" on March 29, 2019

The provider is located at 173 Kingsbury Ct Nazareth, Pa 18064 and the phone number is (201) 598-1184

The provider's speciality is Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

This NPI record was last updated on March 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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