Organization Active NPI

Restorative Medicine, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Bronxville, NY
National Provider Identifier
1306284930
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
248529 Issued in NY
Legal business name
RESTORATIVE MEDICINE, P.C.
Practice address
77 Pondfield Rd # GFL2
Bronxville, NY 10708-3809
Phone
(914) 752-7797
Fax
(844) 854-7503
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Dr. Judith Ann Glaser, D.O.
Title
Owner
Phone
(516) 327-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 248529 NY Primary

Addresses

Primary practice location

77 Pondfield Rd # GFL2
Bronxville, NY 10708-3809

Mailing address

192 Bon Air Ave
New Rochelle, NY 10804-3105
Phone (914) 752-7797

National Provider Directory

National Provider Directory

Locations

800 Westchester Ave
Ste 708
Rye Brook, NY 10573
Phone (516) 327-9777

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1306284930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BON AIR AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043105",
            "telephone_number": "914-752-7797",
            "fax_number": "844-854-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD # GFL2",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-752-7797",
            "fax_number": "844-854-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-327-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "248529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.