Glenn F. Agoliati, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

141538 Issued in NY

Practice address

19 Baker Ave
Suite 100
Poughkeepsie, NY 12601-1359

Phone

(845) 454-1942

Fax

(845) 452-4638

NPI assigned

Dec 1, 2006

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Hematology Oncology Associates PC

  dba NY Imaging Specialists

  • Hematology & Oncology Physician
  • Poughkeepsie, NY
  • NPI 1275615809
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1063580579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-454-1942",
            "fax_number": "845-452-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-454-1942",
            "fax_number": "845-452-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOLIATI",
        "first_name": "GLENN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "141538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda C Agajanian Hill, LCSW-R
• Vinita Agarwal, M.D.
• Andrea Agas, PA-C
• Nneoma Marygold Agbo, M.D
• Kavita Aggarwal, MD
• Amanda Agosto, LMSW
• Martha Agresta, PH.D.
• Stephany Agudelo
• Demetrio A. Aguila Jr., M.D.
• Mridasim O Aguwa, MD

• Hematology & Oncology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.