Active NPI
Stephen J Glawson Sr., D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Lakewood, NJ
National Provider Identifier
1972570356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15866
- Practice address
- 400 Madison Ave
Lakewood, NJ 08701-3214 - Phone
- (732) 363-0800
- Fax
- (732) 367-5206
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 15866 | NJ | Primary |
Addresses
Primary practice location
400 Madison Ave
Lakewood, NJ 08701-3214
Mailing address
1403 Holmes Ave
Toms River, NJ 08753-6925
Phone (732) 363-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15866 | Other | NJ | STATE LICENSE |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050616000810 | NJ | Practitioner - Oral Surgery | 8820032147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15866 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean County Oral and Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Toms River, NJ
- NPI 1285491159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972570356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 HOLMES AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087536925",
"telephone_number": "732-363-0800",
"fax_number": "732-367-5206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013214",
"telephone_number": "732-363-0800",
"fax_number": "732-367-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAWSON",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "15866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "15866",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.