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GLENN C MELLUSI D.C.
NPI 1689887846
Chiropractor in East Orange, NJ

Active since May 07, 2007
185 MAIN ST STE 102, EAST ORANGE, NJ 07018(201) 486-2883(862) 520-1339 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenn C Mellusi D.c. NPPES

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

GLENN C MELLUSI D.C. (NPI 1689887846) is an individual chiropractor in East Orange, New Jersey, licensed in New Jersey (38MC00502400) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1689887846
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameGLENN C MELLUSICredential: D.C.
Location Address185 MAIN ST STE 102East Orange, NJ 07018
Mailing Address238 Lincoln StBerkeley Heights, NJ 07922-1154 · (908) 531-4885
Phone(201) 486-2883
Fax(862) 520-1339
Sole ProprietorYes
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1689887846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00502400
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.
185 MAIN ST STE 102, East Orange, NJ 07018
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Total Health Physical Medicine & Rehabilitation Center LLC
9.8 mi
Pain Medicine
171 RIDGEDALE AVE, SUITE A
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1679633671 (973) 377-6327

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 Glenn Mellusi's NPI number?

The NPI number for Glenn Mellusi is 1689887846. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Glenn Mellusi located?

Glenn Mellusi practices at 185 Main St Ste 102, East Orange, NJ 07018. The listed phone number is (201) 486-2883.

What is Glenn Mellusi's specialty?

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

Is Glenn Mellusi enrolled in Medicare?

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

Which organization bills Medicare for Glenn Mellusi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Mellusi reassigns Medicare benefits to Total Health Physical Medicine & Rehabilitation Center LLC (Florham Park, 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 Mellusi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenn Mellusi was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.