Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376513051 Individual Practitioner Male Practitioner

Dr. Glenn Nicholas Collazo , DC

Chiropractor • Park Ridge, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Collazo, DC is a registered healthcare professional specializing in Chiropractor in Park Ridge, NJ. Practice services are available at 12 WORTENDYKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Wortendyke Rd

Park Ridge, NJ 076562046

Telephone 2017507246
Fax 2014976614
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Park Ridge, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.1 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Park Ridge, NJ (3049 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NJ 38MC00430900

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922177922

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 05, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 05, 2011

Registered at 12 WORTENDYKE RD, PARK RIDGE, NJ 076562046 (Tel: 2017507246)

📍
Updated Business Mailing Address July 05, 2011

Registered at 12 WORTENDYKE RD, PARK RIDGE, NJ 076562046 (Tel: 2017507246)

👤
Provider Name / Credentials Updated July 05, 2011

Recorded as GLENN COLLAZO, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2011

Chiropractor (License #38MC00430900 in NJ)

🟢
Initial NPI Registration & Enumeration January 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376513051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2006
Last Update: July 05, 2011
Sole Proprietor: Yes

Mailing Address

12 Wortendyke Rd

Park Ridge, NJ 076562046

Phone: 2017507246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.