GLENN MICHAEL LUDAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225817224

GLENN MICHAEL LUDAN (PMHNP) is a healthcare provider. based in Mays landing, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 26NJ14928300 (NJ). The NPI Number for GLENN MICHAEL LUDAN (PMHNP) is 1225817224

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
GLENN MICHAEL LUDAN (PMHNP)
NPI
1225817224
Phone
(973) 699-8111
Address
38 NORTHRIDGE DR
Enumeration Date
27 September 2023
Last Update Date
7 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095611700
Graduation Year
2022 (4 years ago)
PAC ID
9436597119
Group Practice PAC ID
6406742592
Professional Enrollment ID
I20240401000230
Address ID
NJ080372516HA301XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for GLENN MICHAEL LUDAN (PMHNP)

  • 38 NORTHRIDGE DR

    MAYS LANDING, NJ 083304920

    Phone: (973) 699-8111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($120).

Total Amount

$239

General + Research + Ownership

Payments

2

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kyowa Kirin, Inc.$120
Braeburn Inc.$119
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: 2024-04-01

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
I20240401000230INurse PractitionerNJTBD

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 08330)

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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: 6406742592View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Certified Nurse Midwife (Cnm)NJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeMD
-NJ
-NJ
Internal MedicinePA
-NJ

Reviews

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Frequently asked questions

Does GLENN MICHAEL LUDAN (PMHNP) have a public NPI I can cite?
Public records show GLENN MICHAEL LUDAN (PMHNP) under NPI 1225817224.
Should I treat GLENN MICHAEL LUDAN (PMHNP) as an active provider?
Patients and plans typically see GLENN MICHAEL LUDAN (PMHNP) as active in the national extract.
What type of care does GLENN MICHAEL LUDAN (PMHNP) provide?
GLENN MICHAEL LUDAN (PMHNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to GLENN MICHAEL LUDAN (PMHNP)?
The directory associates GLENN MICHAEL LUDAN (PMHNP) with Mays Landing, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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