DR. GLENN R PROVDO (NPI# 1467574814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467574814 |
| Entity Type | Individual |
| Full Name | DR. GLENN R PROVDO |
| Credential | D.P.M. |
| Practice Address |
2446 Church Rd Suite 2c Toms River NJ 08753-8182 |
| Practice Telephone | 7322558637 |
| Practice Fax Number | 6096986813 |
| Mailing Telephone | 7322558637 |
| Mailing Fax Number | 6096986813 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00149000 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2446 CHURCH RD SUITE 2C |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08753-8182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053382291 | Frank Patrick Dichiara | Family Medicine | 2446 Church Rd, Toms River, NJ 08753-8182 | 2006-01-27 |
| 1811492564 | Chelsea Newman | Physician Assistant | 2446 Church Rd, Toms River, NJ 08753-8182 | 2018-03-26 |
| 1356874168 | Jersey Spine and Wellness, LLC | Chiropractor | 2446 Church Rd, Suite 2e, Toms River, NJ 08753-8182 | 2017-04-07 |
| 1912304601 | Aida A Ismael-lennon | Psychologist | 2446 Church Rd, Toms River, NJ 08753-8182 | 2014-11-25 |
| 1558760991 | Elaine Kandalepas | Psychologist | 2446 Church Rd, Suite 3b, Toms River, NJ 08753-8182 | 2014-08-21 |
| 1932449006 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 2446 Church Rd, Suite 2e, Toms River, NJ 08753-8182 | 2013-02-26 |
| 1932445970 | Meridian Hospitals Corporation | Clinic/Center | 2446 Church Rd, Suite 3a, Toms River, NJ 08753-8182 | 2012-12-19 |
| 1861772568 | Lisa Mendelson | Clinical Neuropsychologist | 2446 Church Rd, Suite 3b, Toms River, NJ 08753-8182 | 2011-08-25 |
| 1699080499 | Valerie May Gumban Sia | Pediatrics | 2446 Church Rd, Toms River, NJ 08753-8182 | 2010-08-17 |
| 1588705487 | The Family Medicine Institute Corporation | Family Medicine | 2446 Church Rd, Suite 1d, Toms River, NJ 08753-8182 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831712769 | Rashidah Nicole Hansen | Counselor | 35 W Water St, Suite # 1a, Toms River, NJ 08753 | 2020-05-27 |
| 1801425350 | Kadidiatou Diawara | Non-emergency Medical Transport (VAN) | 1747 Hooper Ave #15, 1747 Hooper Ave #15, Toms River, NJ 08753 | 2020-04-06 |
| 1225676018 | Encore Dental of Toms River | Dentist | 1220 Hooper Avenue, Toms River, NJ 08753 | 2019-12-12 |
| 1922651900 | Alice Marin | Massage Therapist | 917-5 Route 166, Toms River, NJ 08753 | 2019-07-19 |
| 1013407931 | Thompson Medical and Chiropractic LLC | Chiropractor | 810 Hooper Ave Ste 1, Toms River, NJ 08753 | 2018-05-16 |
| 1306335070 | Shannon Lane Shimrock | Speech-Language Pathologist | 866 Goose Creek Rd., Toms River, NJ 08753 | 2018-05-08 |
| 1760981237 | Sonali Dhir | Nurse Practitioner | Rediclinic Toms River 811 Fischer Blvd, Rediclinic Toms River, Toms River, NJ 08753 | 2018-02-09 |
| 1104351048 | Care Finders Total Care LLC | Home Health | 1314 Route 9, Pleasant Plaza, Unit 8, Toms River, NJ 08753 | 2017-04-28 |
| 1053850354 | Future Project | Day Training, Developmentally Disabled Services | 473 Us 206, Andover, NJ 08753 | 2017-02-20 |
| 1730631664 | Natasha Neves | Speech-Language Pathologist | 19 Bear Mountain Court, Toms River, NJ 08753 | 2016-10-26 |
| Find all providers in zip 08753 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497252217 | Advanced Foot & Ankle Specialists, PC | Podiatrist | 601 Route 37 W # C300, Toms River, NJ 08755-8050 | 2018-04-09 |
| 1770500357 | Kimberly Ann Daley | Podiatrist | 555 Lakehurst Rd, Toms River, NJ 08755-8044 | 2006-07-17 |
| 1255329751 | James F Donovan | Podiatrist | 104 Commons Way, Toms River, NJ 08755-6426 | 2005-10-10 |
| 1710349196 | James F. Donovan | Podiatrist | 104 Commons Way, Toms River, NJ 08755-6426 | 2016-03-24 |
| 1629251889 | Kimberly Daley Dpm | Podiatrist | 530 Lakehurst Rd, Suite 205, Toms River, NJ 08755-8063 | 2007-12-11 |
| 1689855744 | Mark D Meskin | Podiatrist | 9 Hospital Dr, Toms River, NJ 08755-6425 | 2007-11-16 |
| 1497969224 | Jersey Shore Podiatry,llc | Podiatrist | 600 Mule Rd, Suite 3, Toms River, NJ 08757 | 2007-05-10 |
| 1275682783 | Bruce William Cooperman | Podiatrist | 3 Plaza Dr, Ste 11, Toms River, NJ 08757-3765 | 2007-01-10 |
| 1629147624 | Mark Edward Poplawski | Podiatrist | 555 Lakehurst Rd, Toms River, NJ 08755-8044 | 2006-11-06 |
| 1760400071 | Nancy Ellen Clark | Podiatrist | 25 Mule Road, B9, Toms River, NJ 08755 | 2006-07-17 |
| Find all providers in TOMS RIVER | ||||
| City | TOMS RIVER |
| Zip Code | 08753 |
Please comment or provide details below to improve the information on DR. GLENN R PROVDO.
| 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.