Glen P Wainen, MD, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA60125 Issued in NJ

Legal business name

GLEN P WAINEN, MD, LLC

Practice address

57 US Highway 46
Ste 107
Hackettstown, NJ 07840-2695

Phone

(908) 813-9700

Fax

(908) 813-0033

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Glen P Wainen, MD

Title

Owner

Phone

(908) 813-9700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1750640546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 US HIGHWAY 46",
            "address_2": "STE 107",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402695",
            "telephone_number": "908-813-9700",
            "fax_number": "908-813-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 US HIGHWAY 46",
            "address_2": "STE 107",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402695",
            "telephone_number": "908-813-9700",
            "fax_number": "908-813-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN P WAINEN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "WAINEN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-813-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA60125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Ghandour, BCBA
• Rosanne France Giannuzzi, MD
• Jennifer Lyn Gilbert, LCSW
• William S Giliberti, MD
• Julianna Gilleo, RDN
• Hailey Gohn
• Colleen Golden, LCSW
• Yelena Goldin Frazier, PH.D.
• Goldin Synapse Neuropsychology and Consultation Services LLC
• Devi P Gollapudi, M.D.

• Orthopaedic Surgery Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.