Glorimar Weaver, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00242900 Issued in NJ

Practice address

1057 Commerce Ave
Union, NJ 07083-5025

Phone

(908) 688-8800

Fax

(908) 688-2377

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gweaver492852@ahs.direct-ci.com

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

• Physiatry Consultants of NJ LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1710690631

  NJ

  Medicare reassignment Care Compare group
• Advanced Pain Care LLC

  • Specialist
  • Maplewood, NJ
  • NPI 1639487259
  Medicare reassignment
• Igea Brain & Spine,PA

  • Neurological Surgery Physician
  • Union, NJ
  • NPI 1710103288
  Medicare reassignment
• Integrated Physiatry Services

  • Physical Medicine & Rehabilitation Physician
  • Somerville, NJ
  • NPI 1902972201
  Medicare reassignment
• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033
  Medicare reassignment
• Physiatrists of New Jersey

  • Physical Medicine & Rehabilitation Physician
  • Teaneck, NJ
  • NPI 1740723428
  Medicare reassignment
• Maplewood Wellness Center

  • Physical Therapist
  • Maplewood, NJ
  • NPI 1649880022
  NPD

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1356657381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 COMMERCE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-688-8800",
            "fax_number": "908-688-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 COMMERCE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-688-8800",
            "fax_number": "908-688-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "GLORIMAR",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00242900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Tamara Wallace, LAC
• Walloflions, LLC. (Lion Health Initiative)
• Michelle Wang
• Runsheng Wang, M.D.
• We Sit Better, Inc. (We Sit Better of Essex)
• Kevin Weber
• Sarah Weinberg, APN
• Carla Natasha Wells, CRNA
• Robert E. West Jr., LCSW
• Gregory Westgate

• Physician Assistant in Union, NJ
• Providers in Union, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.