DR. GLENN N GORAB DMD
NPI 1700862059
Dentist - Oral and Maxillofacial Surgery in Clifton, NJ

Active since December 19, 2005Opted out of Medicare · through Mar 1, 2028
1439 BROAD ST, CLIFTON, NJ 07013(973) 778-7171(973) 916-0696 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glenn N Gorab Dmd NPPES

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

DR. GLENN N GORAB DMD (NPI 1700862059) is an individual oral and maxillofacial surgery provider in Clifton, New Jersey, licensed in New Jersey (DI13023) and active in the NPI registry since December 2005. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700862059
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GLENN N GORABCredential: DMD
Location Address1439 BROAD STClifton, NJ 07013-4221
Mailing Address1439 Broad StClifton, NJ 07013-4221 · (973) 778-7171 · Fax (973) 916-0696
Fax(973) 916-0696
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateSeptember 25, 2007
NPI 1700862059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NJ · DI13023
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1439 BROAD ST, Clifton, NJ 07013

Other Identifiers 2

Medicare UPING0185953
Medicare ID-Type Unspecified185953RWUNJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Glenn N Gorab Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Dentist (Oral and Maxillofacial Surgery)
1439 BROAD ST
CLIFTON, NJ 07013
Dentist (Oral and Maxillofacial Surgery)
1439 BROAD ST
CLIFTON, NJ 07013

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 Gorab's NPI number?

The NPI number for Glenn Gorab is 1700862059. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Glenn Gorab located?

Glenn Gorab practices at 1439 Broad St, Clifton, NJ 07013. The listed phone number is (973) 778-7171.

What is Glenn Gorab's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Glenn Gorab enrolled in Medicare?

No. Glenn Gorab has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Glenn Gorab was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.