Glenn Bager, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00605200 Issued in NJ

Practice address

92 State RT 27
Rahway, NJ 07065-2813

Phone

(732) 827-0028

Fax

(732) 827-0018

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colonia Spine and Wellness Center PAGroup PAC ID 8022289834, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colonia Spine & Wellness Center PA

  • Chiropractor
  • Colonia, NJ
  • NPI 1952536054
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629110838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NORMANDY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544068",
            "telephone_number": "973-887-7832",
            "fax_number": "732-827-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STATE RT 27",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652813",
            "telephone_number": "732-827-0028",
            "fax_number": "732-827-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGER",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00605200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neveen Asaad, MD
• Eileen Ashkenazi
• Mahtab Ayatollahi, MSW LCSW
• Back & Neck Care Center, P.C.
• Saleem Bacus, MD
• Fatmata Bah, LCSW
• Taskeen Bains, DDS
• Sheryll Baranda Bajamundi, PT
• Zachary Bakun, MD
• Leo John Battenhausen, MSW, LCSW

• Chiropractor in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.