Individual provider Active NPI

Paul Gliedman, MD

  • Radiation Oncology Physician
  • New York, NY
National Provider Identifier
1285618926
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
158603 Issued in NY
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

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01018982MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000927 NY Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 0244280873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Radiation Oncology
Education
Columbia University College of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Physician Services PCGroup PAC ID 9133265317, 111 clinicians
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Radiation Oncology PC Radiation Oncology CurrentSince Jan 1, 2005 Accepting new patients
TBHC Physician Services PC CurrentSince Sep 3, 2023 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 1, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.