Glen Depalo
Specialist/Technologist, Athletic Trainer in Neptune, New Jersey
1518092295- Practice location
- 55 Neptune Blvd, Neptune High School, Neptune, NJ 07753-4838
- Phone
- 732-776-2200
- Fax
- —
- Last updated
- July 8, 2007
Glen Depalo is a Specialist/Technologist, Athletic Trainer based in Neptune, NJ. Glen Depalo practices in Neptune, NJ. The NPI Number for Glen Depalo is 1518092295 and holds a License No. 25MT00019500 (NJ). The current practice location address for Glen Depalo is 55 Neptune Blvd, Neptune High School, Neptune, NJ 07753-4838 and can be reached out via phone at 732-776-2200.
Provider Profile Details
- NPI Number
- 1518092295
- Provider Name
- Glen Depalo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Neptune Blvd, Neptune High School, Neptune, NJ 07753-4838
- Phone Number
- 732-776-2200
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 22, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Neptune Blvd
Neptune High School
Neptune, NJ 07753-4838 - City
- Neptune
- State
- New Jersey
- Zip
- 07753-4838
- Phone Number
- 732-776-2200
Provider Business Mailing Address Details
- Address
- 55 Neptune Blvd
Neptune High School
Neptune, NJ 07753-4838 - City
- Neptune
- State
- NJ
- Zip
- 07753-4838
License Information
- License Number
- 25MT00019500
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Glen Depalo?
The NPI number of Glen Depalo is 1518092295. It was assigned on February 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Glen Depalo?
Glen Depalo is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00019500.
Where does Glen Depalo practice?
The practice location is 55 Neptune Blvd, Neptune High School, Neptune, NJ 07753-4838. The office can be reached at 732-776-2200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518092295 directly on the NPPES registry website.