DR. JAMES GLEN SANDERSON (NPI# 1154328193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154328193 |
| Entity Type | Individual |
| Full Name | DR. JAMES GLEN SANDERSON |
| Credential | DO |
| Practice Address |
3 Webster Ave Jersey City NJ 07307-1824 |
| Mailing Address |
6 Hudson Ct Apartment #3-b Bayonne NJ 07002-2135 |
| Practice Telephone | 2012161505 |
| Practice Fax Number | 2012168803 |
| Mailing Telephone | 2012161505 |
| Mailing Fax Number | 2012168803 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB07524000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0039217 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164999009 | James Roy Sanderson | Specialist/Technologist, Other | 223 Myrtle St W, Philadelphia, MS 39350-3037 | 2018-10-29 |
| 1144534926 | James Lewis Sanderson | Physical Therapist | 7 Alfred St Ste 100, Woburn, MA 01801-1900 | 2010-08-04 |
| 1437294790 | James D Sanderson | Dentist | 1155 Rehrmann Dr, Dixon, CA 95620-3263 | 2007-02-21 |
| 1699876268 | James C Sanderson | Ophthalmology | 3885 Tampa Rd, Suite B, Oldsmar, FL 34677-3121 | 2006-09-26 |
| 1184654733 | James R. Sanderson | Optometrist | 9924 W 143rd Pl, Orland Park, IL 60462-2404 | 2006-07-03 |
| 1780623546 | James Lester Sanderson Jr. | Dentist | 1633 Montgomery Hwy, Ste 5, Hoover, AL 35216-4916 | 2006-06-06 |
| 1922593714 | James Sanderson | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2018-06-25 |
| 1558378414 | James D Sanderson | Dentist | Route 191 South, Hamlin, PA 18427 | 2006-08-02 |
| 1578559837 | James Sanderson | Pathology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-09-22 |
| Street Address |
3 WEBSTER AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326354267 | Carl Restivo Jr., M.d., Pa | Internal Medicine | 3 Webster Ave, Jersey City, NJ 07307-1866 | 2010-08-30 |
| 1487628467 | Dominic Joseph Maiello | Internal Medicine | 3 Webster Ave, Jersey City, NJ 07307-1824 | 2006-02-15 |
| 1245217751 | Carl Restivo Jr. | Internal Medicine | 3 Webster Ave, Jersey City, NJ 07307 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275191629 | Paladina Health, LLC | Family Medicine | 631 Grand St Ste 2-500, Jersey City, NJ 07304-3451 | 2019-05-31 |
| 1124512389 | Dr Inna Riva Professional Corporation | Family Medicine | 206 Washington St Ste A, Jersey City, NJ 07302-4557 | 2018-06-20 |
| 1407368442 | Sanitas Medical Center of New Jersey PC | Family Medicine | 350 Montgomery St, Jersey City, NJ 07302-4041 | 2017-10-31 |
| 1669826053 | Titilola Olayemi Oloyede | Family Medicine | 30 Montgomery St Fl 14, Jersey City, NJ 07302-3829 | 2016-04-21 |
| 1548654130 | Mallik Patel | Family Medicine | 600 Pavonia Ave Ste 5-03, Jersey City, NJ 07306-2929 | 2015-03-23 |
| 1013327345 | Inna Riva | Family Medicine | 206 Warren St Apt 301, Jersey City, NJ 07302-4448 | 2014-05-08 |
| 1508168709 | Bayfront Medical Associates, LLC | Family Medicine | 1809 John F Kennedy Blvd, Ground Floor, Jersey City, NJ 07305-2184 | 2010-11-22 |
| 1346554110 | Jim Nguyen | Family Medicine | 70 Greene St, Apt 3603, Jersey City, NJ 07302-7587 | 2010-08-03 |
| 1154518181 | Jasvendar Singh Nandra | Family Medicine | 2690 John F Kennedy Blvd, Jersey City, NJ 07306-5804 | 2007-10-03 |
| 1891863676 | Sun C. Tzeng | Family Medicine | 172 Martin Luther King Jr Dr, Jersey City, NJ 07305-3309 | 2006-12-01 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
Please comment or provide details below to improve the information on DR. JAMES GLEN SANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.