Active NPI
Tayron Glover Sr., COUNSELOR
- Counselor
- Paterson, NJ
National Provider Identifier
1285453704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 01832701
- Practice address
- 122 Katz Ave Apt 122
Paterson, NJ 07502-1216 - Phone
- (973) 801-7304
- NPI assigned
- Oct 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 01832701 | NJ | Primary |
Addresses
Primary practice location
122 Katz Ave Apt 122
Paterson, NJ 07502-1216
Mailing address
122 Katz Ave Apt 122
Paterson, NJ 07502-1216
Phone (973) 801-7304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01832701 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1285453704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 KATZ AVE APT 122",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075021216",
"telephone_number": "973-801-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 KATZ AVE APT 122",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075021216",
"telephone_number": "973-801-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "TAYRON",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "01832701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.