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ADVANCED PODIATRY PA
NPI 1154430411
Podiatrist in Union, NJ

Active since August 30, 2006
1308 MORRIS AVENUE, SUITE 104, UNION, NJ 07083(908) 688-5577(908) 688-2755 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Podiatry Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PODIATRY PA (NPI 1154430411), doing business as Glenn A Davison Dpm Pa, is a healthcare organization registered as a podiatrist in Union, New Jersey and active in the NPI registry since August 2006. The organization lists Glenn A Davison, President, as its authorized official.

NPPES Registry Identity

NPI1154430411
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameADVANCED PODIATRY PA
Location Address1308 MORRIS AVENUE, SUITE 104Union, NJ 07083-3331
Mailing Address1308 Morris Avenue, Suite 104Union, NJ 07083-3331 · (908) 688-5577 · Fax (908) 688-2755
Phone(908) 688-5577
Fax(908) 688-2755
Organization SubpartNo
Authorized OfficialGlenn A DavisonPresident · (908) 688-5577
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 7, 2007
✔ NPI 1154430411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in NJ · 25MD00196300✔ Licensed in NJ · 25MD00257000✔ Licensed in NY · N0046131✔ Licensed in NY · N006069
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1308 MORRIS AVENUE, Union, NJ 07083
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Other Names 1

Former Legal Business NameGlenn A Davison Dpm Pa

Other Identifiers 9

Other1138221NJ · Horizon Health
Other985507Amerihealth
Medicaid8261903NJ
Other0859237000Amerihealth
Medicare UPINU80197
Medicare NSC3964640001NJ
Medicare UPINU02004
Medicare ID-Type UnspecifiedCH5852Rail Road
Medicare ID-Type Unspecified0000039719

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Podiatry Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Podiatry PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Glenn Davison, DPM
Podiatry
NPI 1285743559
1308 MORRIS AVENUE SUITE 104
Union, NJ 07083
(908) 688-5577
✔ PECOS✔ Accepts MedicareSame address
Brent Blanck-Singer, DPM
Podiatry
NPI 1285293993
315 N CARTER RD
Smyrna, DE 19977
(302) 730-4366
✔ PECOS✔ Accepts Medicare121 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Podiatry PA's NPI number?

The NPI number for Advanced Podiatry PA is 1154430411. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider was formerly known as Glenn A Davison Dpm PA.

Where is Advanced Podiatry PA located?

Advanced Podiatry PA is located at 1308 Morris Avenue Suite 104, Union, NJ 07083. The listed phone number is (908) 688-5577.

What is Advanced Podiatry PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Advanced Podiatry PA enrolled in Medicare?

Yes. Advanced Podiatry PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Podiatry PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Advanced Podiatry PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Podiatry PA was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.