Active NPIIndividual providerSole proprietor

Glenn C Mellusi, DC

Chiropractor in East Orange, New Jersey

NPI Number1689887846
Practice location
185 Main St Ste 102, East Orange, NJ 07018
Fax
862-520-1339
Last updated
September 2, 2021

Glenn C Mellusi is a Chiropractor based in East Orange, NJ. Glenn C Mellusi practices in East Orange, NJ and has the professional credentials of DC. The NPI Number for Glenn C Mellusi is 1689887846 and holds a License No. 38MC00502400 (NJ). The current practice location address for Glenn C Mellusi is 185 Main St Ste 102, East Orange, NJ 07018 and can be reached out via phone at 201-486-2883 and via fax at 862-520-1339.

Provider Profile Details

NPI Number
1689887846
Provider Name
Glenn C Mellusi
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
185 Main St Ste 102, East Orange, NJ 07018
Phone Number
201-486-2883
Fax Number
862-520-1339
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2007
Last Update Date
September 2, 2021
Certification Date
September 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Main St Ste 102
East Orange, NJ 07018
Zip
07018
Phone Number
201-486-2883
Fax Number
862-520-1339
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
238 Lincoln St
Berkeley Heights, NJ 07922-1154
City
Berkeley Heights
State
NJ
Zip
07922-1154
Phone Number
908-531-4885

License Information

License Number
38MC00502400
License State
NJ
Taxonomy
Chiropractor · 111N00000X · 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 Glenn C Mellusi, DC?

The NPI number of Glenn C Mellusi, DC is 1689887846. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Glenn C Mellusi, DC?

Glenn C Mellusi, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00502400.

Where does Glenn C Mellusi, DC practice?

The practice location is 185 Main St Ste 102, East Orange, NJ 07018. The office can be reached at 201-486-2883 (phone) or 862-520-1339 (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 1689887846 directly on the NPPES registry website.

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