Rachel Glantz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3969 Issued in CT

Practice address

631 Quaker LN S
West Hartford, CT 06110-1026

Phone

(860) 232-2010

Fax

(860) 232-2011

NPI assigned

Dec 4, 2014

Last updated

Mar 17, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment
• Dendrinos Medical Associates, P.a.

  • General Practice Physician
  • Vineland, NJ
  • NPI 1386839603
  NPD (past)
• Mullica Hill Medical Associates PC

  • Family Medicine Physician
  • Mullica Hill, NJ
  • NPI 1740381680
  NPD (past)

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508263617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 BRETTON RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191208",
            "telephone_number": "860-463-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 QUAKER LN S",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101026",
            "telephone_number": "860-232-2010",
            "fax_number": "860-232-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Bridgeton Pike",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622671",
            "country_code": "US",
            "telephone_number": "856-478-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Bridgeton Pike",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622671",
            "country_code": "US",
            "telephone_number": "856-478-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANTZ",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3969",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00352200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Nicole Giordano, RD
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• Molly Giorgio
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• Marshall Gladstone, PH.D.
• Irina Glazman, DDS
• Paulette Greer Gleit, LCSW LLC
• Susan Gluck, LCSW
• Yolanda Gobes, MSW
• Jason Alan Gockel, PSY.D

• Physician Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.