Individual provider Active NPI

Glen Paul Wainen, MD

  • Orthopaedic Surgery Physician
  • Hackettstown, NJ
National Provider Identifier
1831100999
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA06012500 Issued in NJ
Practice address
57 US Highway 46 Ste 107
Hackettstown, NJ 07840-2695
Phone
(908) 813-9700
Fax
(908) 813-2861
NPI assigned
Aug 11, 2006
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA06012500 NJ Primary

Addresses

Primary practice location

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

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

1 Robertson Dr Ste 11
Bedminster, NJ 07921-1716
Phone (908) 813-9700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Glen.Wainen.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC
Direct Messaging Address Glen.Wainen.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110302000728 NJ Practitioner - Orthopedic Surgery 7810067626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

57 Route 46 E 107
Advocare Skylands Orthopaedics
Hackettstown, NJ 07840-2695
Phone (908) 813-9700

57 US Hwy 46
Suite 107
Hackettstown, NJ 07840-2695
Phone (908) 813-9700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Advocare, LLC CurrentSince Jul 1, 2013 Accepting new patients
Advocare , LLC CurrentSince Jul 1, 2013 Accepting new patients
Premier Brain and Spine, LLC Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Advocare, LLC Orthopaedic Surgery Past Accepting new patients
Freeman Pain Institute PA Past Accepting new patients

Locations

1 Robertson Dr
Ste 11
Bedminster, NJ 07921
Phone (908) 234-9200

57 US Highway 46
Ste 107
Hackettstown, NJ 07840

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1831100999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 US HIGHWAY 46 STE 107",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402695",
            "telephone_number": "908-813-9700",
            "fax_number": "908-813-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robertson Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Bedminster",
            "state": "NJ",
            "postal_code": "079211716",
            "country_code": "US",
            "telephone_number": "908-813-9700",
            "fax_number": "908-813-2861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAINEN",
        "first_name": "GLEN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA06012500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Glen.Wainen.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "1 Robertson Dr Ste 11",
            "city": "Bedminster",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079211716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Glen.Wainen.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "1 Robertson Dr Ste 11",
            "city": "Bedminster",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079211716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.