Glen Katz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00503500 Issued in NJ

Practice address

415 Speedwell Ave
Morris Plains, NJ 07950-2100

Phone

(973) 359-3055

Fax

(973) 359-3056

NPI assigned

Oct 12, 2006

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

Lincoln Chiropractic College, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr. Glen'S Chiropractic Health and Wellness LLC

  • Chiropractor
  • Rockaway, NJ
  • NPI 1013367630
  Medicare reassignment NPD Authorized official
• Speedwell Chiropractic

  • Chiropractor
  • Morris Plains, NJ
  • NPI 1093803744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922197284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502100",
            "telephone_number": "973-359-3055",
            "fax_number": "973-359-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502100",
            "telephone_number": "973-359-3055",
            "fax_number": "973-359-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "GLEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00503500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Ernesto Jardines Cantillo
• Jennifer a Costello LCSW LLC
• Charles Alan Joseph, M.D.
• Just-US Physical Therapy LLC
• Krishna Kadakia
• Evelyn N. Keddis, M.D.
• Megan Kelly, MS
• Thanita Z. Kennedy
• Keesha M Khepra, LCSW
• Stephanie Kimmel, MA BCBA

• Chiropractor in Morris Plains, NJ
• Providers in Morris Plains, 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.