Active NPIIndividual provider

Mr. Glen M Ewing, GRNA

Nurse Anesthetist, Certified Registered in Newark, New Jersey

NPI Number1538306345
Practice location
150 Bergen St, Rm#e-245, Newark, NJ 07103-2496
Fax
973-972-2357
Last updated
January 15, 2009

Glen Martin Ewing is a Nurse Anesthetist, Certified Registered based in Newark, NJ. Glen Martin Ewing practices in Newark, NJ and has the professional credentials of GRNA. The NPI Number for Glen Martin Ewing is 1538306345 and holds a License No. 26no11090200 (NJ). The current practice location address for Glen Martin Ewing is 150 Bergen St, Rm#e-245, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-7867 and via fax at 973-972-2357.

Provider Profile Details

NPI Number
1538306345
Provider Name
Glen Martin Ewing
Credential
GRNA
Provider Entity Type
Individual
Gender
Male
Address
150 Bergen St, Rm#e-245, Newark, NJ 07103-2496
Phone Number
973-972-7867
Fax Number
973-972-2357
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2009
Last Update Date
January 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Rm#e-245
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-7867
Fax Number
973-972-2357
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
1701 S Central Ave
South Plainfield, NJ 07080-3601
City
South Plainfield
State
NJ
Zip
07080-3601
Phone Number
908-963-6192

License Information

License Number
26no11090200
License State
NJ
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Glen M Ewing, GRNA?

The NPI number of Mr. Glen M Ewing, GRNA is 1538306345. It was assigned on January 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Mr. Glen M Ewing, GRNA?

Mr. Glen M Ewing, GRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26no11090200.

Where does Mr. Glen M Ewing, GRNA practice?

The practice location is 150 Bergen St, Rm#e-245, Newark, NJ 07103-2496. The office can be reached at 973-972-7867 (phone) or 973-972-2357 (fax).

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 1538306345 directly on the NPPES registry website.

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