Active NPI
Janine Glass, MS, ATC
- Athletic Trainer
- Coram, NY
National Provider Identifier
1205496874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002741
- Practice address
- 340 Woodland CT
Coram, NY 11727-3625 - Phone
- (631) 839-3297
- NPI assigned
- Jun 17, 2019
- Last updated
- Jun 17, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 002741 | NY | Primary |
Addresses
Primary practice location
340 Woodland CT
Coram, NY 11727-3625
Mailing address
340 Woodland CT
Coram, NY 11727-3625
Phone (631) 839-3297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1205496874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WOODLAND CT",
"city": "CORAM",
"state": "NY",
"postal_code": "117273625",
"telephone_number": "631-839-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WOODLAND CT",
"city": "CORAM",
"state": "NY",
"postal_code": "117273625",
"telephone_number": "631-839-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "JANINE",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.