Individual provider Active NPI

Noam Glaser, M.D.

  • Dermatology Physician
  • Massapequa, NY
National Provider Identifier
1184700593
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
167136 Issued in NY
Practice address
727 N Broadway
Massapequa, NY 11758-2348
Phone
(516) 799-0210
Fax
(516) 799-0247
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 167136 NY Primary

Addresses

Primary practice location

727 N Broadway
Massapequa, NY 11758-2348

Mailing address

727 N Broadway
Massapequa, NY 11758-2348
Phone (516) 799-0210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040916001065 NY Practitioner - Dermatology 3375510456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noam Glaser MD PCGroup PAC ID 0345214755, 3 clinicians

Practice addresses (Care Compare)

727 N Broadway
Suite C2
Massapequa, NY 11758-2348
Phone (516) 799-0210

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions332
Removal or shaving of skin growth149
Skin biopsy506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167136NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noam Glaser, M.D. PC Dermatology CurrentSince Jan 1, 1990 Accepting new patients

Locations

727 N Broadway
Ste B4
Massapequa, NY 11758
Phone (516) 799-0210

727 N Broadway
Ste C2
North Massapequa, NY 11758
Phone (516) 799-0210

727 N Broadway
North Massapequa, NY 11758
Phone (516) 243-7909

146 Manetto Hill Rd
Plainview, NY 11803
Phone (516) 822-3600

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1184700593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-799-0210",
            "fax_number": "516-799-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "516-799-0210",
            "fax_number": "516-799-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "NOAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "167136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.