Glenn Rory Faust, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

180968 Issued in NY

Practice address

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Phone

(516) 572-6705

Fax

(516) 572-5140

NPI assigned

Nov 9, 2006

Last updated

Apr 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Yale University School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Group practices

Fordham Medical of New York LLCGroup PAC ID 4284972621, 24 clinicians

Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians

Foxhurst Medical of New York LLCGroup PAC ID 6901151778, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 52)

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foxhurst Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1730547522
  Medicare reassignment Care Compare group NPD
• Bushwick Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1720565922
  Medicare reassignment Care Compare group
• Fordham Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1205332905
  Medicare reassignment Care Compare group
• Bushwick Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003393299
  Medicare reassignment NPD
• Nassau Health Care Corporation

  dba Nassau Department of Psychiatry and Psychology, FPP

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment NPD
• Pelham Pkwy Medical of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1285156067
  Medicare reassignment NPD
• Pelham Pkwy Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1063926962
  Medicare reassignment NPD
• Starrett City Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1043752785
  Medicare reassignment NPD
• St. Nicholas Medical of New York, LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1316471352
  Medicare reassignment
• St. Nicholas Professional Medical Services of New York LLC

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1033631064
  Medicare reassignment
• Staten Island Medical of New York LLC

  • Vascular Surgery Physician
  • Staten Island, NY
  • NPI 1669888277
  Medicare reassignment
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1396760989
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1003986456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6705",
            "fax_number": "516-572-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859",
            "telephone_number": "516-572-6705",
            "fax_number": "516-572-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "GLENN",
        "middle_name": "RORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "180968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01363560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catsim Fassassi
• Kara Fastuca
• Helen Faude, OTR/L
• Todd Francis Faude, M.S./OTR/L
• Albert Fauross, PHD
• Brian S. Fefferman, LCSW
• Alan Feinsod, MSW
• Howard Feirman, RPH
• Meryl Feldman, L.C.S.W. PLLC
• Brooke Bracha Feldstein, PSY.D.

• Vascular Surgery Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.