Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Podiatry PA

Organization Podiatrist · NPI 1154430411

Advanced Podiatry PA is a Podiatrist in Union, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2006.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1308 Morris Ave Ste 104
Union, NJ 07083-3331
Phone: (908) 688-5577
Fax: (908) 688-2755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD00196300 (NJ)
Podiatrist Taxonomy 213E00000X · Licence 25MD00257000 (NJ)
Podiatrist Taxonomy 213E00000X · Licence N0046131 (NY)
Podiatrist Taxonomy 213E00000X · Licence N006069 (NY)

Record details

NPI number1154430411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Davison — President · (908) 688-5577
Other names Glenn A Davison Dpm Pa
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 7, 2007
Mailing address1308 Morris Avenue, Suite 104, Union, NJ 07083-3331

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