Active NPI
Kimberlie Glaser, MD
- Psychologist
- New Hyde Park, NY
National Provider Identifier
1225192123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 16065
- Practice address
- Schneider Children'S Hospital
269 01 76TH Avenue
New Hyde Park, NY 11040 - Phone
- (718) 470-8390
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 16065 | NY | Primary |
Addresses
Primary practice location
Schneider Children'S Hospital
269 01 76TH Avenue
New Hyde Park, NY 11040
Mailing address
Schneider Children'S Hospital
269 01 76TH Avenue
New Hyde Park, NY 11040
Phone (718) 470-8390
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16065 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225192123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SCHNEIDER CHILDREN'S HOSPITAL",
"address_2": "269 01 76TH AVENUE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "718-470-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SCHNEIDER CHILDREN'S HOSPITAL",
"address_2": "269 01 76TH AVENUE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11040",
"telephone_number": "718-470-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "KIMBERLIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "16065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.