Noam Glaser, M.D. PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NOAM GLASER, M.D. PC

Practice address

727 N Broadway
Massapequa, NY 11758-2348

Phone

(516) 799-0210

Fax

(516) 799-0247

NPI assigned

May 10, 2007

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Noam Glaser, M.D.NPI 1184700593

Title

President

Phone

(516) 799-0210

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Noam Glaser, M.D.

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1184700593
  Medicare reassignment Care Compare group NPD Authorized official
• Wayne Luo, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1346267192
  Medicare reassignment Care Compare group NPD
• Patty Lai Chun, PA-C

  • Dermatology Physician
  • Massapequa, NY
  • NPI 1194801506
  Medicare reassignment Care Compare group
• Ian Michael Goldin, PA-C

  • Physician Assistant
  • Roslyn, NY
  • NPI 1053896035
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1013121656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "address_2": "SUITE C2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-799-0210",
            "fax_number": "516-799-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-799-0210",
            "fax_number": "516-799-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAM GLASER, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "NOAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-799-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Manos DDS PC
• Gina Nicolas, NP
• Denise Nilsen
• Tanaiya Nixon
• Noah Goodman LCSW, PLLC
• Joseph Robert Nocera, D.P.T
• Brianna Nolan, PTA
• James Michael Noonan Jr., RPH
• Jenna Marie Norris, OTR/L
• North Massapequa Fire District

• Dermatology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.