Individual provider Active NPI

Alvin I. Glasgold, M.D.

  • Facial Plastic Surgery Physician
  • Highland Park, NJ
National Provider Identifier
1124195375
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
25 MA02198400 Issued in NJ
Practice address
31 River Rd
Highland Park, NJ 08904-1731
Phone
(732) 846-6540
Fax
(732) 846-8231
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 25 MA02198400 NJ Primary

Addresses

Primary practice location

31 River Rd
Highland Park, NJ 08904-1731

Mailing address

31 River Rd
Highland Park, NJ 08904-1731
Phone (732) 846-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25 MA02198400NJMDFacial Plastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1124195375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041731",
            "telephone_number": "732-846-6540",
            "fax_number": "732-846-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041731",
            "telephone_number": "732-846-6540",
            "fax_number": "732-846-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOLD",
        "first_name": "ALVIN",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NJ",
            "license": "25 MA02198400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.