Glen Albert Nathan, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2790-L Issued in PA

Practice address

1653 The Fairway
Suite 214
Jenkintown, PA 19046-1420

Phone

(215) 886-3000

Fax

(215) 357-5764

NPI assigned

Jan 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• American Body Care, LLC

  • General Practice Physician
  • Jenkintown, PA
  • NPI 1720378441
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1083890545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY",
            "address_2": "SUITE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-886-3000",
            "fax_number": "215-357-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY",
            "address_2": "SUITE 214",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-886-3000",
            "fax_number": "215-357-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "GLEN",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "2790-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott David Myhre, MD
• Bryan Nack, D.M.D.
• Rawan Nahas, M.D.
• Kavya Sukumaran Nair, PT, MPT,PHD
• Michal Namir, LCSW
• Nayaz Variety
• Carmel Needleman, D.M.D.
• Robert Neidich, CCC/SLP
• Neuropsychology Associates of Abington
• New Narratives, LLC

• Rehabilitation Chiropractor in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.