Active NPI
Robert I. Gluck, MD, LLC
- Customized Equipment (DME)
- New Hyde Park, NY
National Provider Identifier
1053596841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 155436
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01181442 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.