GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.
NPI 1396335675
Internal Medicine in Neptune, NJ

Active since January 21, 2021
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753(561) 678-2026 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2021, Feb 18, 2021, Jan 21, 2021 (3 updates tracked since 2021).

About Glutality Provider Group Of New Jersey, Pa. NPPES

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

GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA. (NPI 1396335675) is a healthcare organization registered as an internal medicine in Neptune, New Jersey and active in the NPI registry since January 2021. The organization lists Mitchell Stottland, Owner, as its authorized official.

NPPES Registry Identity

NPI1396335675
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.
Location Address3600 ROUTE 66 STE 150Neptune, NJ 07753-2645
Mailing Address401 Fairway Dr Ste 200Deerfield Beach, FL 33441-1800 · (561) 678-2026
Organization SubpartNo
Authorized OfficialMitchell StottlandOwner · (561) 678-2026
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1396335675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3600 ROUTE 66 STE 150, Neptune, NJ 07753

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)

Glutality Provider Group Of New Jersey, Pa. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Glutality Provider Group Of New Jersey, PA., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1225359466
387 PARK AVE S FL 9
New York, NY 10016
(888) 564-5250
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1760651210
36825 GROVE ESTATE RD
Lewes, DE 19958
(304) 546-7595
✔ PECOS✔ Accepts Medicare118 mi
Internal Medicine
NPI 1568526242
777 HEMLOCK ST
Macon, GA 31201
(478) 633-7550
✔ PECOS✔ Accepts Medicare735 mi
Internal Medicine
NPI 1689673790
1507 S TUTTLE AVE
Sarasota, FL 34239
(301) 722-0484
✔ PECOS✔ Accepts Medicare1,012 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 Glutality Provider Group Of New Jersey, PA.'s NPI number?

The NPI number for Glutality Provider Group Of New Jersey, PA. is 1396335675. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Glutality Provider Group Of New Jersey, PA. located?

Glutality Provider Group Of New Jersey, PA. is located at 3600 Route 66 Ste 150, Neptune, NJ 07753. The listed phone number is (561) 678-2026.

What is Glutality Provider Group Of New Jersey, PA.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glutality Provider Group Of New Jersey, PA. enrolled in Medicare?

Yes. Glutality Provider Group Of New Jersey, PA. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glutality Provider Group Of New Jersey, PA.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Glutality Provider Group Of New Jersey, PA., in Family Practice and Internal Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glutality Provider Group Of New Jersey, PA. was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.