Organization Active NPI

G Glezerman Psychiatry PC

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1093922551
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
G GLEZERMAN PSYCHIATRY PC
Practice address
2116 Avenue P
Brooklyn, NY 11229-1507
Phone
(718) 338-1616
Fax
(718) 338-1898
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory J Glezerman, MD PHD
Title
Owner
Phone
(718) 338-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2116 Avenue P
Brooklyn, NY 11229-1507

Mailing address

917 Cliffside Ave
Valley Stream, NY 11581-3049
Phone (718) 338-1616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093922551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CLIFFSIDE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813049",
            "telephone_number": "718-338-1616",
            "fax_number": "718-338-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291507",
            "telephone_number": "718-338-1616",
            "fax_number": "718-338-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G GLEZERMAN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEZERMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-338-1616",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.