Robert Glisci, M.S., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

36231 Issued in NY

Practice address

559 Woodbury Rd
Plainview, NY 11803-1010

Phone

(516) 822-2911

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1205032182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 WOODBURY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031010",
            "telephone_number": "516-822-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 WOODBURY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031010",
            "telephone_number": "516-822-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLISCI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.S., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "36231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamaria Giordano, DPM
• Medhat Ishak Girgis, RPH
• Amanda N Girschick
• Stacey Gish Wallenstein, MA
• Glen Fitterman, MD, PC
• Go Glow Medspa Management LLC
• Vertika Goel
• Catherine Going
• Alexandra Golcher, R.N.
• Philip Gold, DMD

• Dentist in Plainview, NY
• Providers in Plainview, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.