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DR. GLEN ROBERT MARK D.C.
NPI 1669415238
Chiropractor in Riverhead, NY

Active since June 13, 2006Accepts Medicare Assignment
633 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-3795(631) 727-1961 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen Robert Mark D.c. NPPES

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

DR. GLEN ROBERT MARK D.C. (NPI 1669415238) is an individual chiropractor in Riverhead, New York, licensed in New York (XOO7337-1) and active in the NPI registry since June 2006. He is a graduate of Life Chiropractic College (1993).

NPPES Registry Identity

NPI1669415238
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLEN ROBERT MARKCredential: D.C.
Location Address633 ROANOKE AVERiverhead, NY 11901-2727
Mailing Address633 Roanoke AveRiverhead, NY 11901-2789 · (631) 727-3795 · Fax (631) 727-1961
Phone(631) 727-3795
Fax(631) 727-1961
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1993
Enumeration DateJune 13, 2006
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1669415238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · XOO7337-1
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.
633 ROANOKE AVE, Riverhead, NY 11901
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Other Identifiers 1

OtherCO-7337-1NY · Workers Compensation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glen Robert Mark D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981684842
PECOS Enrollment IDI20040721001251

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
976 services78 patients

Other Providers at the Same Location NPPES 3

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

DR. NANCY SZENDY MARK D.C.
Chiropractor
633 ROANOKE AVE, PULASKI ST. (CORNER)
RIVERHEAD, NY 11901
Suffolk County (631) 727-3795
NORTH FORK NEUROPSYCHOLOGY
Clinic/Center (Mental Health (Including Community Mental Health Center))
633 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 512-2232
HALLMARK CHIROPRACTIC
Chiropractor
633 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 727-3795

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 Glen Mark's NPI number?

The NPI number for Glen Mark is 1669415238. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Glen Mark located?

Glen Mark practices at 633 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-3795.

What is Glen Mark's specialty?

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

Is Glen Mark enrolled in Medicare?

Yes. Glen Mark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glen Mark accept?

Health plans from Providence Health Plan list Glen Mark 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 Glen Mark was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.