Individual provider Active NPI

Andrew Rigby Glass, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1073622114
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006132 Issued in NY
Practice address
315 Madison Ave
RM 2301
New York, NY 10017-5413
Phone
(212) 867-2500
Fax
(212) 867-2500
NPI assigned
Aug 30, 2006
Last updated
Jan 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N006132 NY Primary

Addresses

Primary practice location

315 Madison Ave
RM 2301
New York, NY 10017-5413

Mailing address

100 Hillside Ave
Manhasset, NY 11030-2252
Phone (516) 314-6484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012002142 NY Practitioner - Podiatry 5698040970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Madison Ave
RM 2301
New York, NY 10017-5413
Phone (212) 867-2500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006132NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glass Podiatric Foot Obs, PC Current Accepting new patients

Locations

315 Madison Ave
Rm 2301
New York, NY 10017
Phone (212) 867-2500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1073622114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HILLSIDE AVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302252",
            "telephone_number": "516-314-6484",
            "fax_number": "212-867-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MADISON AVE",
            "address_2": "RM 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175413",
            "telephone_number": "212-867-2500",
            "fax_number": "212-867-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ANDREW",
        "middle_name": "RIGBY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.