Individual provider Active NPI

Glenda Rabie

  • Family Medicine Physician
  • Camden, NJ
National Provider Identifier
1538126339
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA41038 Issued in NJ
Practice address
309 Marlton Ave
Camden, NJ 08105
Phone
(856) 963-5479
Fax
(856) 963-8457
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA41038 NJ Primary

Addresses

Primary practice location

309 Marlton Ave
Camden, NJ 08105

Mailing address

309 Marlton Pike
Camden, NJ 08105
Phone (856) 963-5479

Other identifiers 1

IdentifierTypeStateIssuer
2278502MedicaidNJ

Other names 1

  • Glenda Orlin Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101118001331 NJ Practitioner - Family Practice 5991991713 Practice locations: Camden, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 Marlton Ave
Camden, NJ 08105-2124
Phone (856) 963-5479

309 Marlton Rd
Camden, NJ 08105-2124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA41038NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cooper Health System Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1538126339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MARLTON PIKE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08105",
            "telephone_number": "856-963-5479",
            "fax_number": "856-963-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MARLTON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08105",
            "telephone_number": "856-963-5479",
            "fax_number": "856-963-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIE",
        "first_name": "GLENDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA41038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "ORLIN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.