Active NPI
Noam Glaser, M.D.
- Dermatology Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 167136
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 332 |
| Removal or shaving of skin growth | 149 |
| Skin biopsy | 506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167136 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noam Glaser, M.D. PC | Dermatology | Current | 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.
-
- Dermatology Physician
- Massapequa, NY
- NPI 1013121656
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.