Advanced Podiatry PA
NPI 1154430411 · Podiatrist · Union, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Podiatry PA is a Podiatrist organization in Union, NJ (NPI 1154430411).
Provider details
- NPI number
- 1154430411
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Glenn Davison, President(908) 688-5577
- License
- 25MD00257000 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Glenn a Davison DPM PA
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-12-07
Frequently asked questions
- What is Advanced Podiatry PA's NPI number?
- Advanced Podiatry PA's National Provider Identifier (NPI) is 1154430411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Podiatry PA?
- Advanced Podiatry PA is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Advanced Podiatry PA located?
- Advanced Podiatry PA's practice location on file with NPPES is 1308 Morris Avenue, Union, NJ 07083-3331.
- What is Advanced Podiatry PA's phone number?
- The practice phone number listed in the NPPES registry for Advanced Podiatry PA is (908) 688-5577.
- Does Advanced Podiatry PA accept Medicare?
- Advanced Podiatry PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Podiatry PA?
- The authorized official listed on Advanced Podiatry PA's NPPES record is Glenn Davison, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Podiatry PA's NPI active?
- Yes — Advanced Podiatry PA's NPI (1154430411) is active in the NPPES registry as of the last update on 2007-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.