Mario V Glavicic, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC05221 Issued in NJ

Practice address

520 Main St Ste 303
Fort Lee, NJ 07024-4501

Phone

(201) 947-7805

Fax

(201) 947-7806

NPI assigned

Aug 12, 2006

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

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Physical Therapy LLCGroup PAC ID 1456623495, 2 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.

• Bergen Physical Therapy, LLC

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1013446954
  Medicare reassignment Care Compare group NPD Authorized official
• Bergen Physical Therapy & Wellness, P.C.

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1558345074
  Authorized official Same address or phone
• Triune Health Restoration Systems LLC

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1043822968
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659383578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MAIN STREET, SUITE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MAIN ST STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244501",
            "telephone_number": "201-947-7805",
            "fax_number": "201-947-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVICIC",
        "first_name": "MARIO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seungkyu Gim, PHARMACIST
• Inna Gimelbrand, MS, RDN
• Gioconda Aesthetics Inc (Serenity Advanced Therapeutics)
• Marsha Girgis, RD
• Irina Girshovich, MD
• Global Dental Associates PA
• Gloria Loew
• Glowmind Counseling LLC
• Go Med Transit
• Nupur Goel-Lohe

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, 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.