Active NPI
Paul Gliedman, MD
- Radiation Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 158603
- Practice address
- 1000 10TH Ave
New York, NY 10019 - Phone
- (212) 523-7165
- Fax
- (212) 523-8189
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 158603 | NY | Primary |
Addresses
Primary practice location
1000 10TH Ave
New York, NY 10019
Mailing address
PO Box 54677
Los Angeles, CA 90054-0677
Phone (800) 331-9294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01018982 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Columbia University College of Physicians and Surgeons, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
2330 Eastchester Rd
Bronx, NY 10469-5930
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Radiation Oncology PC | Radiation Oncology | Current | Accepting new patients |
| TBHC Physician Services PC | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Northern Boulevard Radiation Oncology LLP | Radiation Oncology | Past | Accepting new patients |
| North Shore Hematology Oncology Associates PC | Past | Accepting new patients | |
| B I Radiation Oncology Associates | Past | Accepting new patients | |
| Valley Oncology, P.C. | Radiation Oncology | Past | Accepting new patients |
Locations
2508 Ocean Ave
Brooklyn, NY 11229
Phone (718) 258-1800
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
2101 Avenue X
Brooklyn, NY 11235
Phone (718) 257-0200
2236 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 418-4437
15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688
9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
380 2nd Ave
Ste 1000
New York, NY 10010
Phone (212) 254-3570
1231 3rd Ave
New York, NY 10021
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
1781 Hylan Blvd
Staten Island, NY 10305
Phone (718) 351-9750
2795 Richmond Ave
Staten Island, NY 10314
Phone (718) 982-6982
2801 Richmond Ave
Staten Island, NY 10314
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Radiation Oncology Physician
- Brooklyn, NY
- NPI 1033163506
-
- Radiation Oncology Clinic/Center
- New York, NY
- NPI 1366426942
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1164460754
-
- Radiation Oncology Physician
- Flushing, NY
- NPI 1700884202
-
- Radiation Oncology Physician
- Sherman Oaks, CA
- NPI 1326350950
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1104982917
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1285618926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 54677",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540677",
"telephone_number": "800-331-9294",
"fax_number": "812-471-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-523-7165",
"fax_number": "212-523-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIEDMAN",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "158603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01018982",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.