Individual provider Active NPI

Glenda A. Solano, NP

  • Nurse Practitioner
  • Haddon Heights, NJ
National Provider Identifier
1083139992
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00744700 Issued in NJ
Practice address
2 White Horse Pike
Haddon Heights, NJ 08035-1294
Phone
(856) 310-0042
Fax
(856) 310-0042
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00744700 NJ Primary

Addresses

Primary practice location

2 White Horse Pike
Haddon Heights, NJ 08035-1294

Mailing address

2 White Horse Pike
Haddon Heights, NJ 08035-1294
Phone (856) 310-0042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920002467 NJ Practitioner - Nurse Practitioner 9638443229 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nurse Practitioner Professional ResourcesGroup PAC ID 1951450931, 12 clinicians

Practice addresses (Care Compare)

36 Cushman St
Lakewood, NJ 08701-5201
Phone (856) 885-4579

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Professional Resources CurrentSince Nov 25, 2023 Accepting new patients
Ennoble HC NJ PC CurrentSince Feb 19, 2024 Accepting new patients
New Jersey Cuidado Casero Hospice LLC CurrentSince Nov 1, 2024 Accepting new patients
Act on Total Health Medical Group, LLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

1161 Route 50
Ste L
Mays Landing, NJ 08330
Phone (609) 625-7116

1634 New Rd
Northfield, NJ 08225
Phone (609) 272-0655

415 W Landis Ave
Ste 100
Vineland, NJ 08360
Phone (856) 696-5340

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glenda.solano.1@26288.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1083139992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351294",
            "telephone_number": "856-310-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WHITE HORSE PIKE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351294",
            "telephone_number": "856-310-0042",
            "fax_number": "856-310-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO",
        "first_name": "GLENDA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00744700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

Verify at the official NPI Registry.