Advanced Podiatry PA
Advanced Podiatry PA is a healthcare organization registered as Podiatrist in Union, NJ, holding Type 2 (organization) NPI 1154430411 since 2006. The authorized official on file is Glenn Davison, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154430411 |
|---|---|
| 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 | 9086885577 |
| Fax | 9086882755 |
| Enumeration date | 2006-08-30 |
| Last updated in NPPES | 2007-12-07 |
Authorized official
| Name | Glenn Davison |
|---|---|
| Title | President |
| Phone | 9086885577 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213E00000X | Podiatrist | Secondary | 25MD00257000 | NJ |
| 213E00000X | Podiatrist | Secondary | N0046131 | NY |
| 213E00000X | Podiatrist | Secondary | N006069 | NY |
| 213E00000X | Podiatrist | Primary | 25MD00196300 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 985507 | Other | — | AMERIHEALTH |
| 0859237000 | Other | — | AMERIHEALTH |
| 1138221 | Other | NJ | HORIZON HEALTH |
| 8261903 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Advanced Podiatry PA NPI: 1154430411 Taxonomy: 213E00000X (Podiatrist) Address: 1308 MORRIS AVENUE, SUITE 104, Union, NJ, 07083
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285743559 | Glenn Davison | Individual | Podiatrist | Union, NJ |
| 1598987158 | Leonora Genoble | Individual | Physician Assistant | Union, NJ |
Verify this record
Cross-check NPI 1154430411 against the authoritative CMS record: view Advanced Podiatry PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Advanced Podiatry PA?
What is the NPI number for Advanced Podiatry PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-07.