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DR. KENNETH A GLUCK DMD
NPI 1174789440
Dentist - Periodontics in Newark, NJ

Active since August 05, 2008PECOS Enrolled
110 BERGEN ST, ROOM C-781, NEWARK, NJ 07103(973) 972-4214(973) 972-3884 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Kenneth A Gluck Dmd NPPES

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

DR. KENNETH A GLUCK DMD (NPI 1174789440) is an individual periodontics provider in Newark, New Jersey, licensed in New Jersey (22DI02379600) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174789440
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KENNETH A GLUCKCredential: DMD
Location Address110 BERGEN ST, ROOM C-781Newark, NJ 07103-2495
Mailing Address110 Bergen St, Room C-781Newark, NJ 07103-2495 · (973) 972-4214 · Fax (973) 972-3884
Phone(973) 972-4214
Fax(973) 972-3884
Sole ProprietorNo
Enumeration DateAugust 5, 2008
Last NPPES UpdateMay 16, 2016
✔ NPI 1174789440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 22DI02379600
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
110 BERGEN ST, Newark, NJ 07103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth A Gluck Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH SOOYEON NAM DMD
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9592
DR. THOMAS GREGORY KEELING D.M.D.
Student in an Organized Health Care Education/Training Program
110 BERGEN ST, C723
NEWARK, NJ 07103
Essex County (973) 972-4621
DR. CHERYL LYNN BIBER D.M.D.
Dentist (General Practice)
110 BERGEN ST, UMDNJ - NEW JERSEY DENTAL SCHOOL
NEWARK, NJ 07103
Essex County (973) 972-0833
KEVIN LE DDS
Student in an Organized Health Care Education/Training Program
110 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-3126
DR. JULYANA GOMES ZAGURY DMD, MSD
Dentist (General Practice)
110 BERGEN ST, RM D860
NEWARK, NJ 07103
Essex County (973) 972-7210
CLAUDIA SOTO
Dentist (General Practice)
110 BERGEN ST
NEWARK, NJ 07103
Essex County (862) 245-1222
DR. STEVEN MARK BAUM
Dentist (Oral and Maxillofacial Surgery)
110 BERGEN ST, UMDNJ DS C-768
NEWARK, NJ 07103
Essex County (973) 972-4717
DR. REBECCA REED DMD
Dentist
110 BERGEN ST, SUITE 7700
NEWARK, NJ 07103
Essex County (972) 972-2444

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 Kenneth Gluck's NPI number?

The NPI number for Kenneth Gluck is 1174789440. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Kenneth Gluck located?

Kenneth Gluck practices at 110 Bergen St Room C-781, Newark, NJ 07103. The listed phone number is (973) 972-4214.

What is Kenneth Gluck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Kenneth Gluck enrolled in Medicare?

Yes. Kenneth Gluck is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Gluck accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Kenneth Gluck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Gluck was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.