Individual
MS. GLENDA L. MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
149 MAIN ST, SOUTH RIVER, NJ 08882-1232
(732) 238-6440
(732) 651-1431
Mailing address
629 CRANBURY RD FL 2, EAST BRUNSWICK, NJ 08816-4096
(732) 390-7750
(732) 390-7725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26N300175400
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00175400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0371084
—
NJ
01
—
12483977
CAQH ID
NJ
Enumeration date
04/07/2009
Last updated
03/31/2026
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