Organization Active NPI

Glenn Knobelman, D.C.LLC

  • Medical Specialty Clinic/Center
  • Landing, NJ
National Provider Identifier
1487012415
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
38MC00154600 Issued in NJ
Legal business name
GLENN KNOBELMAN, D.C.LLC
Practice address
172 Landing Rd
Landing, NJ 07850-1500
Phone
(973) 398-9330
Fax
(973) 398-4552
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Glenn Knobelman, D.C.NPI 1720088438
Title
Owner
Phone
(973) 398-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 38MC00154600 NJ Primary

Addresses

Primary practice location

172 Landing Rd
Landing, NJ 07850-1500

Mailing address

172 Landing Rd
Landing, NJ 07850-1500
Phone (973) 398-9330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160321000214 NJ Part B Supplier - Clinic/Group Practice 9436456324 Receives reassigned benefits from 1 practitioner
Practice locations: Landing, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1487012415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LANDING RD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501500",
            "telephone_number": "973-398-9330",
            "fax_number": "973-398-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LANDING RD",
            "city": "LANDING",
            "state": "NJ",
            "postal_code": "078501500",
            "telephone_number": "973-398-9330",
            "fax_number": "973-398-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN KNOBELMAN, D.C.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "KNOBELMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-398-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "38MC00154600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.