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

Glen A Holley, PA

Individual provider Physician Assistant · NPI 1891889705

Glen A Holley, PA is a Physician Assistant in Ramsey, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

171 Lake St
Ramsey, NJ 07446-2089
Phone: (201) 785-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Tice Blvd Ste A35, Woodcliff Lake, NJ 07677-7681 — (201) 882-7526

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00148700 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1891889705
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 27, 2019
Certification dateDecember 27, 2019
Mailing address171 Lake St, Ramsey, NJ 07446-2089

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