Organization Active NPI

General Anesthesia Medical Specialists, PLLC

  • Anesthesiology Physician
  • Woodbury, NY
National Provider Identifier
1083223887
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GENERAL ANESTHESIA MEDICAL SPECIALISTS, PLLC
Practice address
100 Crossways Park Dr W Ste 206a
Woodbury, NY 11797-2012
Phone
(516) 967-0677
Fax
(516) 636-0047
NPI assigned
Jul 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Dr. Kevin Glassman, MDNPI 1457459927
Title
Ceo
Phone
(516) 967-0677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

100 Crossways Park Dr W Ste 206a
Woodbury, NY 11797-2012

Mailing address

100 Crossways Park Dr W Ste 206a
Woodbury, NY 11797-2012
Phone (516) 967-0677

National Provider Directory

National Provider Directory

Locations

100 Crossways Park Dr W
Ste 206A
Woodbury, NY 11797
Phone (516) 967-0677

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1083223887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSWAYS PARK DR W STE 206A",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972012",
            "telephone_number": "516-967-0677",
            "fax_number": "516-636-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSWAYS PARK DR W STE 206A",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972012",
            "telephone_number": "516-967-0677",
            "fax_number": "516-636-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL ANESTHESIA MEDICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-967-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.