Mikhail Gleyzer, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

228820 Issued in NY

Practice address

114 E 72ND St
New York, NY 10021-4245

Phone

(646) 398-7486

Fax

(646) 398-7532

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Mikhail Gleyzer Osteopathic Family Medicine, PC

  • Family Medicine Physician
  • Glendale, NY
  • NPI 1972619245

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official
• Innovative Physical Therapeutics

  • Acupuncturist
  • New York, NY
  • NPI 1912604828
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1083637508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352404",
            "telephone_number": "718-382-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214245",
            "telephone_number": "646-398-7486",
            "fax_number": "646-398-7532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7919 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113857441",
            "country_code": "US",
            "telephone_number": "718-366-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEYZER",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228820",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "228820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Glennon, MD
• Stefanie Glennon
• Kayla Glerum
• Marshall Jay Glesby, M.D.
• Shannon Glessner, RN
• Ilya G Glezerman, MD
• Angela M Gliatta
• Peter M Gliatto, MD
• Glick Dental Associate PLLC
• Alexander F Glick, M.D.

• Neuromusculoskeletal Medicine & OMM Physician in New York, NY
• Providers in New York, NY by specialty
• Neuromusculoskeletal Medicine & OMM Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.