Individual provider Active NPI

Glenn B Gero, N..D.

  • Nutritionist
  • Clifton, NJ
National Provider Identifier
1942538095
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
256 Colfax Ave
Clifton, NJ 07013-1702
Phone
(973) 471-5758
Fax
(973) 471-1776
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

256 Colfax Ave
Clifton, NJ 07013-1702

Mailing address

256 Colfax Ave
Clifton, NJ 07013-1702
Phone (973) 471-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1942538095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COLFAX AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131702",
            "telephone_number": "973-471-5758",
            "fax_number": "973-471-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLFAX AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131702",
            "telephone_number": "973-471-5758",
            "fax_number": "973-471-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERO",
        "first_name": "GLENN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "N..D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.