Great Medical Services P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREAT MEDICAL SERVICES P.C.

Practice address

1 Maiden LN FL 4
New York, NY 10038-5130

Phone

(212) 791-3399

Fax

(212) 791-3388

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

David M. Glass, M.D.

Title

Owner

Phone

(212) 791-3399

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1063644714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIDEN LN FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385130",
            "telephone_number": "212-791-3399",
            "fax_number": "212-791-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIDEN LN FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385130",
            "telephone_number": "212-791-3399",
            "fax_number": "212-791-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-791-3399",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00928809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward J Greaney, MD
• Lisa A Greaney, NP
• Nicole Greaney
• Great City Medical PC
• Great Lakes Behavioral Health Services, P.C.
• Great Neck Terrace Acupuncture PC
• Great Neck Urology, PC
• Great Plains Behavioral Health Services, P.a.
• Great Smile Dental Services PC
• Great Smile Dental Services, LLC

• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.