MR. GLENN H. DAEHNKE (NPI# 1386882207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386882207 |
| Entity Type | Individual |
| Full Name | MR. GLENN H. DAEHNKE |
| Credential | CPED |
| Practice Address |
175 Route 70 Medford NJ 08055-2300 |
| Mailing Address |
175-15 Sharps Run Plaza Rt. 70 Medford NJ 08055 |
| Practice Telephone | 6099530909 |
| Practice Fax Number | 6099530909 |
| Mailing Telephone | 6099530909 |
| Mailing Fax Number | 6099530909 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
175 ROUTE 70 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609823160 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 175 Route 70, Medford, NJ 08055 | 2006-05-30 |
| 1023670809 | Matthew Vassalotti | Physical Therapist | 175 Route 70, Medford, NJ 08055-2300 | 2019-07-02 |
| 1073024485 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 175 Route 70, Medford, NJ 08055-2300 | 2017-10-12 |
| 1396282331 | Anthony Blubello | Physical Therapist | 175 Route 70, Suite 19, Medford, NJ 08055-2300 | 2017-01-29 |
| 1902268865 | Sarah Glynn | Physical Therapist | 175 Route 70, Suite 19, Medford, NJ 08055-2300 | 2016-03-22 |
| 1417318510 | Sara C Phelps | Pharmacist | 175 Route 70, Medford, NJ 08055-2300 | 2016-03-16 |
| 1104205012 | Amanda Whitney Davis | Counselor | 175 Route 70, Ste 12, Medford, NJ 08055-2300 | 2015-05-26 |
| 1578958492 | Jessica Jennings | Physical Therapist | 175 Route 70, 19, Medford, NJ 08055-2300 | 2015-03-30 |
| 1801293352 | Cathya Ocasio | Counselor | 175 Route 70, Suite 12, Medford, NJ 08055-2300 | 2014-11-28 |
| 1821491341 | Victoria Ley | Counselor | 175 Route 70, Suite 12, Medford, NJ 08055-2300 | 2014-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619142171 | Roselyn Gail Ropel | Orthotic Fitter | 2620 E Barnett Rd, Suite G, Medford, OR 97504-8383 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718422 | Peoplecare Inc | Orthotic Fitter | 220 Davidson Ave Ste 3d, Somerset, NJ 08873-4149 | 2019-12-27 |
| 1679008676 | Beneficial Medical Supply | Orthotic Fitter | 50 Us Highway 9 Ste 108, Grosso Office Park, Morganville, NJ 07751-1558 | 2017-04-27 |
| 1679010680 | Frank Grigoli | Orthotic Fitter | 8 Mineral Spring Rd, Millstone Township, NJ 08510-8754 | 2017-01-28 |
| 1689078313 | Eder Charles | Orthotic Fitter | 56 Clinton Pl, Newark, NJ 07108-1219 | 2014-10-09 |
| 1124437975 | Valerie Pagan | Orthotic Fitter | 154 Union Ave Apt 23, Rutherford, NJ 07070 | 2014-08-06 |
| 1710398706 | Damiano Mazza | Orthotic Fitter | 42 Fencsak Ave, Elmwood Park, NJ 07407-1243 | 2014-05-13 |
| 1396909784 | Lashes By Liz Dba Winks Hair & Lash Studio | Orthotic Fitter | 30 Monmouth St, Red Bank, NJ 07701 | 2008-07-15 |
| 1922293000 | Pomac | Orthotic Fitter | 365 C New Albany Rd., Moorestown, NJ 08057 | 2007-09-11 |
| 1942423728 | Brian J. Mulcahy | Orthotic Fitter | 573 Belleville Ave, Belleville, NJ 07109-1307 | 2007-04-10 |
| 1164549176 | Cathleen T. Walraven | Orthotic Fitter | 33 Broadway, Lady K Lingerie, Denville, NJ 07834-2705 | 2007-03-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.