Individual provider Active NPI

Glenn L Osias, MD

  • Gastroenterology Physician
  • Princeton, NJ
National Provider Identifier
1164422788
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07526700 Issued in NJ
Practice address
731 Alexander Rd
Suite 100
Princeton, NJ 08540-6345
Phone
(609) 924-1422
Fax
(609) 924-7473
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07526700 NJ Primary

Addresses

Primary practice location

731 Alexander Rd
Suite 100
Princeton, NJ 08540-6345

Mailing address

731 Alexander Rd
Suite 100
Princeton, NJ 08540-6345
Phone (609) 924-1422

Other identifiers 9

IdentifierTypeStateIssuer
00795866OtherINDEPENDENT BLUE CROSS
00795866OtherPERSONAL CHOICE
3186866OtherAETNA
P00038230OtherMEDICAID FOR RR
0402010000OtherAMERIHEALTH HMO
0575596005OtherCIGNA
0821011000OtherKEYSTONE
0001479986OtherAMERIHEALTH PERSONAL CHOI
0066451MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000514 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 4880690882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

731 Alexander Rd
Suite 100
Princeton, NJ 08540-6345
Phone (609) 924-1422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07526700NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Aug 1, 2021 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

731 Alexander Rd
Ste 100
Princeton, NJ 08540
Phone (609) 924-1422

731 Alexander Rd
Ste 104
Princeton, NJ 08540
Phone (609) 452-1111

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Organizations & group practices 2

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 2

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1164422788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD",
            "address_2": "SUITE 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-924-1422",
            "fax_number": "609-924-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD",
            "address_2": "SUITE 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "609-924-1422",
            "fax_number": "609-924-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIAS",
        "first_name": "GLENN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07526700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT BLUE CROSS",
            "identifier": "00795866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "00795866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3186866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FOR RR",
            "identifier": "P00038230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0402010000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0575596005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0821011000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PERSONAL CHOI",
            "identifier": "0001479986",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066451",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.