Lorraine Janice Glaves, NURSE PRACTITIONER

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

235075-4 Issued in NY

Practice address

2308 30TH Ave
Astoria, NY 11102-3494

Phone

(718) 224-9094

Fax

(718) 313-0436

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1164980496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105200201",
            "telephone_number": "914-739-2587",
            "fax_number": "914-739-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023494",
            "telephone_number": "718-224-9094",
            "fax_number": "718-313-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVES",
        "first_name": "LORRAINE",
        "middle_name": "JANICE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "235075-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot M Gitlitz, DPM
• Gail Marina Giunta, LMHC
• Irene Giusti, PHD
• Amy Glasgow, LMHC
• Jerome B Glassmith, DPM
• Glenn Russo Physical Therapy, PLLC
• Augustine Gnalian, PA-C
• Hans Go, RPH
• Mehak Goal
• Monica Godsey, HAB. SPECIALIST

• Pain Medicine (Anesthesiology) Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.