Glenmar Nisperos, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA01119400 Issued in NJ

Practice address

17 Academy St Ste 312
Newark, NJ 07102-2934

Phone

(973) 648-6808

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Coast Rehabilitation Services LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East Coast Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Kenilworth, NJ
  • NPI 1417228917

  NJ

  Medicare reassignment Care Compare group
• Ascend Psychiatry, PC

  • Psychiatry Physician
  • Union, NJ
  • NPI 1457215469
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962538470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MORRIS AVE APT 55",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811431",
            "telephone_number": "973-704-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ACADEMY ST STE 312",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022934",
            "telephone_number": "973-648-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISPEROS",
        "first_name": "GLENMAR",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01119400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Nimchinsky, MD
• Sai Priya Nimmagadda
• Pridy Ning
• Neel Abhay Nirgudkar, MD
• Tibisay R Nisbett, PT
• Julia Nix
• NJ Children'S Hospital Medical Group
• NJ Gastro, LLC
• NJ Special Medical Transpotation
• NJ Therapeutic Care Option

• All providers in Newark, NJ
• Physical Therapist 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.