Active NPI
Restorative Medicine, P.C.
- Physical Medicine & Rehabilitation Physician
- Bronxville, NY
National Provider Identifier
1306284930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 248529
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.