Glenn Sorrentino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005012 Issued in NY

Practice address

139 Fulton St RM 700
New York, NY 10038-2533

Phone

(212) 406-0134

NPI assigned

Jul 7, 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

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C G Health and Wellness LLCGroup PAC ID 1557734456, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CG Health & Wellness LLC

  • Family Medicine Physician
  • Cedar Grove, NJ
  • NPI 1285356766

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Structural Health LLC

  • Rehabilitation Chiropractor
  • Cedar Grove, NJ
  • NPI 1457002776
  NPD Authorized official
• Goldrock Medical, P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1053510131
  NPD (past)
• Rockwell Medical PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1649209727
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1417989872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HARRISON CT",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074243411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382533",
            "telephone_number": "212-406-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "GLENN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "GS0X0F8210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Soroush, M.D.
• Sasha Sorr, PA
• Lembitu Sorra, MD
• Lauren Sorrel, LMSW
• Anthony M Sorrentino, MD
• Heather Sorrentino
• Suzanne Sorrentino, LCSW
• Cristina Maria Sclafani Sorrento, MD
• Michelle Sorscher
• Nechama L Sorscher, PH.D.

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.