DR. JAMES GLEN SANDERSON (DO) – Family Medicine Physician, NPI 1154328193

DR. JAMES GLEN SANDERSON (DO) is a healthcare provider. based in Bayonne, New Jersey. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 25MB07524000 (NJ). The NPI Number for DR. JAMES GLEN SANDERSON (DO) is 1154328193

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES GLEN SANDERSON (DO)
NPI
1154328193
Phone
(201) 216-1505
Address
6 HUDSON CT
Enumeration Date
6 July 2005
Last Update Date
4 January 2012

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2016562300
Graduation Year
2000 (26 years ago)
PAC ID
1658340500
Group Practice PAC ID
9133300791
Professional Enrollment ID
I20040928000982
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JAMES GLEN SANDERSON (DO)

  • 6, Hudson Court, Bayonne, Hudson County, New Jersey, 07002, United States

    APARTMENT #3-B

    BAYONNE, NJ 070022135

    Phone: (201) 216-1505

    Fax: (201) 216-8803

    Type: Mailing

  • 3, Webster Avenue, Holgate, Long Beach Township, Ocean County, New Jersey, 08008, United States

    JERSEY CITY, NJ 073071824

    Phone: (201) 216-1505

    Fax: (201) 216-8803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($47).

Total Amount

$112

General + Research + Ownership

Payments

7

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040928000982IFamily PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133300791View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNY
Pulmonary DiseaseNJ
-NJ
-NJ
Internal MedicineNJ
Gastroenterology, Internal MedicineNJ
-NJ
-NJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JAMES GLEN SANDERSON (DO)?
DR. JAMES GLEN SANDERSON (DO) — NPI 1154328193 — is the standard way to identify this listing.
Does the file indicate DR. JAMES GLEN SANDERSON (DO) is practicing under active NPI?
Directory data currently reports DR. JAMES GLEN SANDERSON (DO) as active.
What is DR. JAMES GLEN SANDERSON (DO)'s primary classification?
Family Medicine Physician is the headline specialty for DR. JAMES GLEN SANDERSON (DO) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JAMES GLEN SANDERSON (DO)?
DR. JAMES GLEN SANDERSON (DO)'s geographic hint is Bayonne, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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