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GLEN A HOLLEY PA
NPI 1891889705
Physician Assistant in Ramsey, NJ

Active since October 03, 2006PECOS Enrolled

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen A Holley Pa NPPES

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

GLEN A HOLLEY PA (NPI 1891889705) is an individual physician assistant in Ramsey, New Jersey, licensed in New Jersey (25MP00148700) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891889705
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLEN A HOLLEYCredential: PA
Location Address171 LAKE STRamsey, NJ 07446-2089
Mailing Address171 Lake StRamsey, NJ 07446-2089 · (201) 785-0011
Phone(201) 785-0011
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 27, 2019
✔ NPI 1891889705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00148700
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
171 LAKE ST, Ramsey, NJ 07446
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen A Holley Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07446 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 20

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

SUPREE DYLAN DELPHONSE DPT
Physical Therapist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-1990
CAROLYN MONTINI M.S.
Speech-Language Pathologist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-4400
RACHEL MARIE TAYLOR LAC
Acupuncturist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-1950
COLETTE KEENAN BYRNES APN
Nurse Practitioner (Family)
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 785-0011
JACLYN SPITTLER
Speech-Language Pathologist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-4400
KINETIC MEDICAL GROUP, LLC
Physical Therapist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (973) 414-3448
DR. JEFF DANIEL DURO DPT
Physical Therapist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-1990
JOANNE SABATINO
Acupuncturist
171 LAKE ST
RAMSEY, NJ 07446
Bergen County (201) 327-1990

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 Holley's NPI number?

The NPI number for Glen Holley is 1891889705. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Glen Holley located?

Glen Holley practices at 171 Lake St, Ramsey, NJ 07446. The listed phone number is (201) 785-0011.

What is Glen Holley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glen Holley enrolled in Medicare?

Yes. Glen Holley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glen Holley was last updated on December 27, 2019. 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.