DR. GLENN NICHOLAS COLLAZO D.C.
NPI 1376513051
Chiropractor in Park Ridge, NJ

Q: What is Glenn Collazo's NPI number?

The NPI number for Glenn Collazo is 1376513051. It was assigned to this individual provider in the NPPES registry on January 25, 2006. The provider is also known as Dr. Glenn Nicholas Collazo Dc.

Q: What is Glenn Collazo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Collazo was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 25, 2006

12 WORTENDYKE RD, PARK RIDGE, NJ 07656(201) 750-7246(201) 497-6614 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Glenn Nicholas Collazo D.c. NPPES

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

DR. GLENN NICHOLAS COLLAZO D.C. (NPI 1376513051) is an individual chiropractor in Park Ridge, New Jersey, licensed in New Jersey (38MC00430900) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1376513051

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GLENN NICHOLAS COLLAZOCredential: D.C.

Location Address12 WORTENDYKE RDPark Ridge, NJ 07656-2046

Mailing Address12 Wortendyke RdPark Ridge, NJ 07656-2046 · (201) 750-7246 · Fax (201) 497-6614

Phone(201) 750-7246

Fax(201) 497-6614

Sole ProprietorYes

Enumeration DateJanuary 25, 2006

Last NPPES UpdateJuly 5, 2011

✔ NPI 1376513051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NJ · 38MC00430900

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12 WORTENDYKE RD, Park Ridge, NJ 07656

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Other Names 1

Professional Name (2)Dr. Glenn Nicholas Collazo Dc

Other Identifiers 2

Medicare UPIN20-0186486NJ

Medicare ID-Type Unspecified029442NJ · Medicare Provider Number

Other Providers at the Same Location NPPES

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

BACK PAIN REHAB CENTER FOR TREATMENT OF BACK PAIN LLC

Chiropractor

12 WORTENDYKE RD
PARK RIDGE, NJ 07656

Bergen County (201) 750-7246

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 Collazo's NPI number?

The NPI number for Glenn Collazo is 1376513051. It was assigned to this individual provider in the NPPES registry on January 25, 2006. The provider is also known as Dr. Glenn Nicholas Collazo Dc.

Where is Glenn Collazo located?

Glenn Collazo practices at 12 Wortendyke Rd, Park Ridge, NJ 07656. The listed phone number is (201) 750-7246.

What is Glenn Collazo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Glenn Collazo was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.