Glenn Easton, CO,BOCPO,LPO

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

45PO00013900 Issued in NJ

Practice address

141 Siloam Rd
Freehold, NJ 07728-8608

Phone

(800) 718-7856

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Limbcare,LLC

  • Prosthetic/Orthotic Supplier
  • Parlin, NJ
  • NPI 1023357530
  NPD Authorized official
• Orthotic and Prosthetic Services Inc.

  • Prosthetic/Orthotic Supplier
  • Si, NY
  • NPI 1598491490
  NPD Authorized official
• Valentina'S Intimate Apparel Shop, Inc.

  • Customized Equipment (DME)
  • Staten Island, NY
  • NPI 1063569846
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1467576066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SILOAM RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288608",
            "telephone_number": "646-262-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SILOAM RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288608",
            "telephone_number": "800-718-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "CO,BOCPO,LPO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NJ",
            "license": "45PO00013900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Physical Therapy of New Jersey P.a.
• Agnieszka Dziubak
• E&M Communications LLC
• Ear Nose & Throat of Freehold LLC
• East Freehold Medical Group L.L.C.
• Edward Schechterman DMD PA
• Georgia Efthimiou, M.A., BCBA
• Nicole Ehrmann
• Eihab Human Services New Jersey, Inc.
• Eihab Human Services New Jersey, Inc.

• Prosthetics Case Management in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Prosthetics Case Management in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.