Individual provider Active NPI

Adam Michael Glantzman, D.C.

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1982674511
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00408500 Issued in NJ
Practice address
28 Union Ave
Suite 1
Manasquan, NJ 08736-3630
Phone
(732) 223-0677
Fax
(732) 223-6077
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00408500 NJ Primary

Addresses

Primary practice location

28 Union Ave
Suite 1
Manasquan, NJ 08736-3630

Mailing address

28 Union Ave
Suite 1
Manasquan, NJ 08736-3630
Phone (732) 223-0677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000037 NJ Practitioner - Chiropractic 5799791570 Practice locations: Manasquan, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Union Ave
Manasquan, NJ 08736-3630

28 Union Ave
Manasquan, NJ 08736-3647
Phone (732) 223-0677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1982674511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 UNION AVE",
            "address_2": "SUITE 1",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363630",
            "telephone_number": "732-223-0677",
            "fax_number": "732-223-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 UNION AVE",
            "address_2": "SUITE 1",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363630",
            "telephone_number": "732-223-0677",
            "fax_number": "732-223-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANTZMAN",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00408500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.