Phillip Glenn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

677492 Issued in NY

Practice address

1122 E 216TH St
Bronx, NY 10469-2302

Phone

(718) 874-9058

NPI assigned

Oct 30, 2013

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1245668276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E 216TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E 216TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692302",
            "telephone_number": "718-874-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "677492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Gleeson, MD
• Adrienne Gleit, M.D.
• Indy Glemaud, PHARMD
• Christopher Michael Glenn, M.D.
• O'Neil Calvert Glenn
• Calev Glick, DDS
• Daniel G Glicklich, MD
• Helene Glickman, MD
• Kore Nissenson Glied, PH.D.
• Martin Gliem, CASAC-T

• Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.