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

Mr. Glen Depino, ATC

Individual provider Athletic Trainer · NPI 1467577262

Mr. Glen Depino, ATC is an Athletic Trainer in Gladstone, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

St Bernard's Rd
Gladstone, NJ 07934-0604
Phone: (908) 234-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00074500 (NJ)

Record details

NPI number1467577262
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 26, 2010