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Advanced Podiatry PA

Podiatrist in Union, NJ · enumerated 2006 · authorized official Glenn Davison, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154430411

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Podiatry PA
Other name <Unavail>
Practice address 1308 Morris Avenue, Suite 104, Union, NJ, 07083
Phone (908) 688-5577
Fax (908) 688-2755
Enumeration date Aug 30, 2006
Last updated in NPPES Dec 7, 2007

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 25MD00196300 (NJ) Primary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License 25MD00257000 (NJ) Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License N0046131 (NY) Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers · License N006069 (NY) Secondary

Authorized official

Name Glenn Davison
Title President
Phone (908) 688-5577

Other identifiers

Identifier Type State Issuer
985507 Other - AMERIHEALTH
0859237000 Other - AMERIHEALTH
1138221 Other NJ HORIZON HEALTH
8261903 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Advanced Podiatry PA?
NPPES lists Glenn Davison (President) as the authorized official for this organization.
What is the NPI number for Advanced Podiatry PA?
The NPI for Advanced Podiatry PA is 1154430411, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-07.