Active NPI
Eric Glasofer, M.D., PHD
- Specialist
- Voorhees, NJ
National Provider Identifier
1033176136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA04097700
- Practice address
- 1000 White Horse Rd
Suite 904
Voorhees, NJ 08043-4406 - Phone
- (856) 772-1200
- Fax
- (856) 772-9674
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA04097700 | NJ | Primary |
Addresses
Primary practice location
1000 White Horse Rd
Suite 904
Voorhees, NJ 08043-4406
Mailing address
1000 White Horse Rd
Suite 904
Voorhees, NJ 08043-4406
Phone (856) 772-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4701801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000336 | NJ | Practitioner - Allergy/Immunology | 4880656875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033176136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 904",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-772-1200",
"fax_number": "856-772-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 904",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-772-1200",
"fax_number": "856-772-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASOFER",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "25MA04097700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4701801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.