Individual provider Active NPI

Robert William Gluck

  • Physical Medicine & Rehabilitation Physician
  • Manalapan, NJ
National Provider Identifier
1619588597
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40QA01932500 Issued in NJ
Practice address
455 Route 9
Manalapan, NJ 07726-8274
Phone
(732) 617-8090
NPI assigned
Aug 13, 2020
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40QA01932500 NJ Primary

Addresses

Primary practice location

455 Route 9
Manalapan, NJ 07726-8274

Mailing address

455 Route 9
Manalapan, NJ 07726-8274
Phone (732) 614-8882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119001084 NJ Practitioner - Physical Therapist in Private Practice 9133518772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Boro Physical Therapy Associates, PAGroup PAC ID 8527962950, 89 clinicians
Sheydvasser Physical Therapy LLCGroup PAC ID 8022478254, 4 clinicians

Practice addresses (Care Compare)

455 US Hwy 9
Manalapan, NJ 07726-8274
Phone (732) 617-8090

980 Shoppes Blvd
North Brunswick, NJ 08902-2776
Phone (347) 653-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01932500NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Boro Physical Therapy Associates, PA CurrentSince Nov 13, 2023 Accepting new patients
Sheydvasser Physical Therapy LLC CurrentSince Oct 1, 2024 Accepting new patients
Twin Boro Physical Therapy Associates PA CurrentSince Nov 13, 2023 Accepting new patients

Locations

20 Commerce Dr
Ste 210
Cranford, NJ 07016

455 US Highway 9
Manalapan, NJ 07726
Phone (732) 591-2200

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

980 Shoppes Blvd
North Brunswick, NJ 08902
Phone (347) 653-1113

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1619588597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268274",
            "telephone_number": "732-614-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ROUTE 9",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268274",
            "telephone_number": "732-617-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA01932500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.