Organization Active NPI

Cliff M. Glasser, DO., PA.

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1235459686
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS4514 Issued in FL
Legal business name
CLIFF M. GLASSER, DO., PA.
Practice address
16401 NW 2ND Ave
Miami, FL 33169-6036
Phone
(305) 945-7136
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Cliff Glasser, DONPI 1639132897
Title
President
Phone
(305) 999-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X OS4514 FL Primary

Addresses

Primary practice location

16401 NW 2ND Ave
Miami, FL 33169-6036

Mailing address

16401 NW 2ND Ave
Miami, FL 33169-6036

Other identifiers 1

IdentifierTypeStateIssuer
067595400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109001290 FL Part B Supplier - Clinic/Group Practice 9931394582 Receives reassigned benefits from 3 practitioners
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

16401 NW 2nd Ave
Ste 302
Miami, FL 33169

16401 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 945-7136

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17638/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1235459686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-945-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFF M. GLASSER, DO., PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "GLASSER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-999-0009",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067595400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.