Alan T. Glass, MD, Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

196509 Issued in NY

Legal business name

ALAN T. GLASS, MD, DERMATOLOGY LLC

Practice address

271 Doughty Blvd
Inwood, NY 11096-2135

Phone

(516) 239-4244

Fax

(516) 371-6083

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Todd Glass, MDNPI 1124015318

Title

Owner

Phone

(516) 239-4244

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Alan Todd Glass, M.D.

  • Procedural Dermatology Physician
  • Inwood, NY
  • NPI 1124015318
  Authorized official Same address or phone

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1326402009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962135",
            "telephone_number": "516-239-4244",
            "fax_number": "516-371-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 DOUGHTY BLVD",
            "city": "INWOOD",
            "state": "NY",
            "postal_code": "110962135",
            "telephone_number": "516-239-4244",
            "fax_number": "516-371-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN T. GLASS, MD, DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-239-4244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "196509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Inwood, NY
• Providers in Inwood, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.