Glen Medical Health, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

176195 Issued in NY

Legal business name

GLEN MEDICAL HEALTH, PC

Practice address

154 Forest Ave
Glen Cove, NY 11542-2023

Phone

(516) 759-5005

Fax

(516) 759-1509

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loretta M Siegel, M.D.NPI 1629041868

Title

President

Phone

(516) 759-5005

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loretta Mary Siegel, MD

  • Family Medicine Physician
  • Glen Cove, NY
  • NPI 1629041868
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093897142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422023",
            "telephone_number": "516-759-5005",
            "fax_number": "516-759-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 FOREST AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422023",
            "telephone_number": "516-759-5005",
            "fax_number": "516-759-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN MEDICAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-759-5005",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "176195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Cove Pharm LLC (Glen Cove Chemists)
• Glen Cove Physical Medicine, PC
• Glen Cove Physical Therapy, P.C.
• Glen Cove Podiatry, PLLC
• Glen Head Chiropractic & Physical Therapy, PLLC
• Glencove OBGYN Associates
• Glengariff Corporation (Glengariff Healthcare Center)
• Glengariff Dialysis Center LLC
• Glengariff Operating LLC (Glengariff Rehabilitation and Healthcare Center)
• Florin Vasile Glodan, MD

• Specialist in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.