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

Glenn A. Gmyrek, MD

Individual provider Urology Physician · NPI 1740249143

Glenn A. Gmyrek, MD is an Urology in Fair Lawn, New Jersey. Graduated from Columbia University College of Physicians and Surgeons in 1996, 30 years ago. Practices with Sovereign Medical Group LLC, a 20-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
30
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15-01 Broadway Rt 4 West Suites 1 & 3
Fair Lawn, NJ 07410
Phone: (201) 791-4544
Fax: (201) 791-6585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 25MA07435800 (NJ)

Record details

NPI number1740249143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1996 (30 years in practice)
Group practice Sovereign Medical Group Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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