MEDICARE: JOSEPH GRIZZANTI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	33971	NJ
2	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	33971	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1K3901	OTHER	HEALTHNET
2	BS091	OTHER	OXFORD
3	08492890004	OTHER	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2189627	OTHER	AETNA

General Provider Information

NPI Number	:	1932107554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH GRIZZANTI DO

Provider Business Mailing Address
First Line	:	297 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-1919
Country	:	US
Telephone Number	:	973-790-4111
Fax Number	:	973-790-4330

Provider Business Practice Location Address
First Line	:	297 LAFAYETTE AVE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506-1919
Country	:	US
Telephone Number	:	973-790-4111
Fax Number	:	973-790-4330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	09/11/2025

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Directions to “ JOSEPH GRIZZANTI DO” Practice Location

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