GLENN DAVID LEDERMAN D.C.
NPI 1285701888
Chiropractor - Sports Physician in East Brunswick, NJ

Active since November 29, 2006
18 TUTOR PL, EAST BRUNSWICK, NJ 08816(732) 570-5675 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Glenn David Lederman D.c. NPPES

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

GLENN DAVID LEDERMAN D.C. (NPI 1285701888) is an individual sports physician in East Brunswick, New Jersey, licensed in New Jersey (MC04697) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1285701888
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameGLENN DAVID LEDERMANCredential: D.C.
Location Address18 TUTOR PLEast Brunswick, NJ 08816-3658
Mailing AddressPo Box 6262East Brunswick, NJ 08816-6262
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 3, 2016
✔ NPI 1285701888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in NJ · MC04697
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License CH7049 (FL)
18 TUTOR PL, East Brunswick, NJ 08816

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn David Lederman D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Glenn Lederman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
784 FRANKLIN AVE STE 250
Franklin Lakes, NJ 07417
  • Reassigned Medicare billing, New Jersey enrollment
  • 69 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

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

Chiropractor (Sports Physician)
18 TUTOR PL
EAST BRUNSWICK, NJ 08816

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 Glenn Lederman's NPI number?

The NPI number for Glenn Lederman is 1285701888. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Glenn Lederman located?

Glenn Lederman practices at 18 Tutor Pl, East Brunswick, NJ 08816. The listed phone number is (732) 570-5675.

What is Glenn Lederman's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Glenn Lederman enrolled in Medicare?

Yes. Glenn Lederman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Lederman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Lederman reassigns Medicare benefits to Kayal Medical Group, LLC (Franklin Lakes, NJ). The 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 Glenn Lederman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Lederman accept?

Health plans from Oscar Health list Glenn Lederman 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 Glenn Lederman was last updated on November 3, 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.