Glenn S Sherman, MD

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

25MA06048700 Issued in NJ

Practice address

222 High St
Suite 201
Newton, NJ 07860-9604

Phone

(973) 300-3200

Fax

(973) 579-5777

NPI assigned

Jan 3, 2006

Last updated

Jun 20, 2019By 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 2

Addresses

Other identifiers 6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lakewood Resource and Referral Center Inc

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment NPD
• Newton OB/GYN

  • Medical Specialty Clinic/Center
  • Newton, NJ
  • NPI 1215172945
  NPD (past) Authorized official
• Lakewood Resource and Referral Center, Inc.

  dba Center for Health Education, Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Bloomsburg Physicians Services

  • Family Medicine Physician
  • Bloomsburg, PA
  • NPI 1457543290
  NPD (past)
• Bonnie E. B. Osterwald, MD,PC

  • Obstetrics & Gynecology Physician
  • Allentown, PA
  • NPI 1740230457
  NPD (past)
• Keystone Rural Health Center

  dba Keystone Pharmacy Catherine Street

  • Community/Retail Pharmacy
  • Chambersburg, PA
  • NPI 1053105288
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1720066558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 TREELINE DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036049",
            "telephone_number": "484-225-1042",
            "fax_number": "610-336-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "SUITE 201",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609604",
            "telephone_number": "973-300-3200",
            "fax_number": "973-579-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "GLENN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "058743L",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NJ",
            "license": "25MA06048700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767070002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767070005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767070010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007767070006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001601266",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7636008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Healthcare LLC
• Samir Dilip Shah, M.D.
• Vaidahi Shah
• Vaidehi Shah
• Kevin Michael Shaw, DC
• Deena Shewekah, APRN
• Shomaf Nakhjo, D.O. LLC
• Douglas P Sieminski, DO
• Gursharanjit Singh, DO
• Genevieve Sison, M.D.

• Obstetrics Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Obstetrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.