Active NPI
Laura Eileen Glenz, RD
- Registered Dietitian
- Long Beach, NY
National Provider Identifier
1043413990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005848-1
- Practice address
- 535A W Broadway
Long Beach, NY 11561-3000 - Phone
- (516) 432-3119
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005848-1 | NY | Primary |
Addresses
Primary practice location
535A W Broadway
Long Beach, NY 11561-3000
Mailing address
535A W Broadway
Long Beach, NY 11561-3000
Phone (516) 432-3119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005848-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043413990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535A W BROADWAY",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613000",
"telephone_number": "516-432-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535A W BROADWAY",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613000",
"telephone_number": "516-432-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENZ",
"first_name": "LAURA",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005848-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.