Organization Active NPI

Scot Bradley Glasberg, M.D.

  • Point of Service
  • New York, NY
National Provider Identifier
1295129435
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
188514 Issued in NY
Legal business name
SCOT BRADLEY GLASBERG, M.D.
Practice address
42A E 74TH St
New York, NY 10021-2735
Phone
(212) 717-8550
Fax
(212) 717-8589
NPI assigned
Mar 25, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Scot Bradley Glasberg, M.D.NPI 1811955602
Title
Owner
Phone
(212) 717-8550

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
Point of Service 305S00000X 188514 NY Primary

Addresses

Primary practice location

42A E 74TH St
New York, NY 10021-2735

Mailing address

42A E 74TH St
New York, NY 10021-2735
Phone (212) 717-8550

National Provider Directory

National Provider Directory

Locations

42A E 74th St
New York, NY 10021
Phone (212) 717-8550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1295129435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42A E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212735",
            "telephone_number": "212-717-8550",
            "fax_number": "212-717-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42A E 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212735",
            "telephone_number": "212-717-8550",
            "fax_number": "212-717-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT BRADLEY GLASBERG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "GLASBERG",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-717-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "188514",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 25, 2015; 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.