Organization Active NPI

Glassner Family Practice LLC

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1295885333
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10002162
Legal business name
GLASSNER FAMILY PRACTICE LLC
Practice address
324 E Main St
Suite 202
Newark, DE 19711-7150
Phone
(302) 369-2751
Fax
(302) 369-9077
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Mark A Glassner, MD
Title
Owner
Phone
(302) 369-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C10002162 Primary

Addresses

Primary practice location

324 E Main St
Suite 202
Newark, DE 19711-7150

Mailing address

324 E Main St
Suite 202
Newark, DE 19711-7150
Phone (302) 369-2751

National Provider Directory

National Provider Directory

Locations

324 E Main St
Newark, DE 19711
Phone (302) 633-2345

324 E Main St
Ste 202
Newark, DE 19711
Phone (302) 369-2751

Practitioners & affiliated clinicians

Practitioners 3

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1295885333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117150",
            "telephone_number": "302-369-2751",
            "fax_number": "302-369-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117150",
            "telephone_number": "302-369-2751",
            "fax_number": "302-369-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSNER FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "GLASSNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-369-9002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "C10002162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.