GLENN BEALL (NPI# 1790204063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790204063 |
| Entity Type | Individual |
| Full Name | GLENN BEALL |
| Credential | CPO |
| Practice Address |
48 Hiawatha Blvd Oakland NJ 07436-2919 |
| Practice Telephone | 6198676094 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 45PO00017000 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
48 HIAWATHA BLVD |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1508208075 | Brent Benton | Prosthetist | 6001 Telegraph Ave, Oakland, CA 94609-1310 | 2013-07-24 |
| 1023298205 | Andrew Campbell | Prosthetist | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196515 | Crystal Scott Cobbs | Prosthetist | 408 E Church St Ste E, Blackwood, NJ 08012-3975 | 2020-02-18 |
| 1134761349 | Rita Sanders | Prosthetist | 500a Jersey Ave, Jersey City, NJ 07302-3458 | 2019-10-09 |
| 1326502022 | Daniel Koye | Prosthetist | 64 Ettrick Ter Apt B4, Rutherford, NJ 07070-2072 | 2019-01-27 |
| 1033671870 | Mathews Mancha | Prosthetist | 111 Dean Dr, Tenafly, NJ 07670-2764 | 2019-04-02 |
| 1194266064 | Brian O'shea | Prosthetist | 199 New Rd, Suite 57, Linwood, NJ 08221-2025 | 2017-03-13 |
| 1184165060 | Roy Aungst | Prosthetist | 199 New Rd, Suite 57, Linwood, NJ 08221-2025 | 2017-03-13 |
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| 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.