Gleneida Medical Care,PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GLENEIDA MEDICAL CARE,PC

Practice address

453 Route 211 E
Middletown, NY 10940-2206

Phone

(845) 344-4040

Fax

(845) 228-5485

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Michael J Bank, MDNPI 1689614117

Title

Medical Director

Phone

(845) 228-7000

Specialties & licenses 1

Addresses

Tax ID family

Gleneida Medical Carepc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gleneida Medical Care,PC

  • Multi-Specialty Clinic/Center
  • Pleasant Valley, NY
  • NPI 1952617649
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Bank, M.D.

  • Internal Medicine Physician
  • Carmel, NY
  • NPI 1689614117
  NPD (past) Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1063728756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE",
            "address_2": "STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402206",
            "telephone_number": "845-344-4040",
            "fax_number": "845-228-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENEIDA MEDICAL CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "BANK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-228-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Ezra Glaser, MD
• Lavern Angela Glave, ANP
• Cori-Leigh Gleason
• Mary Beth Anne Gleason, OTR/L
• Deborah Ann Glebocki, O.T.
• Carlton I. Glover, MD
• Goddard Lainjo, M.D., P.C.
• Rosaura Maria Godinez
• Akash Goel, MD
• Meghan Grace Goess

• Multi-Specialty Clinic/Center in Middletown, NY
• Providers in Middletown, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.