Mark Gladstein, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

205366 Issued in NY

Practice address

2076 E 13TH St
Brooklyn, NY 11229-3304

Phone

(718) 382-7900

Fax

(718) 382-7901

NPI assigned

May 11, 2006

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Medical & Surgical P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1821033960
  Medicare reassignment Authorized official
• Triborough ASC LLC

  • Surgery Physician
  • Bronx, NY
  • NPI 1720638497
  NPD Authorized official
• Avanguard Medical Group, PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1417033572
  NPD (past) Authorized official
• Gramercy Anesthesia Consultants, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1669404406
  Authorized official Same address or phone
• Avanguard Medical Group

  • Pain Clinic/Center
  • Brooklyn, NY
  • NPI 1346660867
  NPD (past)
• Metropolitan Medical and Surgical, P.C.

  • Pain Clinic/Center
  • Brooklyn, NY
  • NPI 1427457498
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1184674061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7900",
            "fax_number": "718-382-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7900",
            "fax_number": "718-382-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSTEIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "205366",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "205366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078962",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glacier Cryo Medical P.C
• Kristen Gladish
• Yelena Gladkov-Kaganovich, MS SP ED
• Gladstein Medical Care PC
• Irene Gladstein, M.D.
• Slava Gladstein, D.O.
• Galina Gladysheva, RDH,OM
• Elizabeth Anne Glaeser
• Michael John Glancy, OTR/L
• Dovid Glancz, MS LMHC

• Pain Medicine (Anesthesiology) Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.