Organization Active NPI

Robert I. Gluck, MD, LLC

  • Customized Equipment (DME)
  • New Hyde Park, NY
National Provider Identifier
1053596841
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
155436 Issued in NY
Legal business name
ROBERT I. GLUCK, MD, LLC
Practice address
410 Lakeville Road
Suite310
New Hyde Park, NY 11042
Phone
(516) 280-5844
Fax
(516) 280-5768
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Robert Gluck, M.D.
Title
Physician
Phone
(516) 280-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 155436 NY Primary

Addresses

Primary practice location

410 Lakeville Road
Suite310
New Hyde Park, NY 11042

Mailing address

410 Lakeville Road
Suite310
New Hyde Park, NY 11042
Phone (516) 280-5844

Other identifiers 1

IdentifierTypeStateIssuer
01181442MedicaidNY

National Provider Directory

National Provider Directory

Locations

410 Lakeville Rd
Ste 310
New Hyde Park, NY 11042
Phone (516) 437-1111

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1053596841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE ROAD",
            "address_2": "SUITE310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-280-5844",
            "fax_number": "516-280-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE ROAD",
            "address_2": "SUITE310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-280-5844",
            "fax_number": "516-280-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I. GLUCK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "GLUCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-280-5844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "155436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01181442",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.