Glenn Advincula Salcedo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06167800 Issued in NJ

Practice address

21 S Hope Chapel Rd Ste 131
Jackson, NJ 08527-5000

Phone

(732) 363-1424

Fax

(732) 370-0714

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.salcedo@direct.hackensackmeridian.org
• FHIR API: https://fhir4.healow.com/fhir/r4/IJCFBA
• FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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.

• Hackensack Meridian Health Medical Group - Primary Care PC

  • Family Medicine Physician
  • Red Bank, NJ
  • NPI 1336203538

  Pediatrics

  Medicare reassignment NPD
• Lakewood Pediatric Associates

  • Pediatrics Physician
  • Lakewood, NJ
  • NPI 1528015153
  NPD (past)
• Pediatric Associates PA

  • Pediatrics Physician
  • Neptune, NJ
  • NPI 1992839757
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1386679645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S HOPE CHAPEL RD STE 131",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275000",
            "telephone_number": "732-363-1424",
            "fax_number": "732-370-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S HOPE CHAPEL RD STE 131",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275000",
            "telephone_number": "732-363-1424",
            "fax_number": "732-370-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "GLENN",
        "middle_name": "ADVINCULA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06167800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2626608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham N Safer, D.D.S.
• Daniel J Safer, LSW
• Leah Safer, M.S., CCC-SLP
• Saker Shoprites Inc
• Yamini Chandrakala Sakunala, NP
• Czarina Sarah Samaniego
• Anamaria I Sandru, NP
• Dan Victor Sandru, M.D.
• Maritza Santiago
• Sarah Shapiro RDN LLC

• Pediatrics Physician in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.