Individual provider Active NPI

Trevor Glanville, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1326703091
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310580 Issued in NY
Practice address
800 2ND Ave FL 9
New York, NY 10017-4709
Phone
(646) 329-6585
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310580 NY Primary

Addresses

Primary practice location

800 2ND Ave FL 9
New York, NY 10017-4709

Mailing address

800 2ND Ave FL 9
New York, NY 10017-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208000595 NY Practitioner - Nurse Practitioner 1153714555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Services of Lenox Hill, PCGroup PAC ID 8820533052, 7 clinicians

Practice addresses (Care Compare)

2731 Crescent St
Astoria, NY 11102-4293
Phone (718) 204-0548

57 W 57TH St
FL 15
New York, NY 10019-2832
Phone (212) 289-0171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.1 of 100Reported as group
Quality
72.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310580NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Faculty Medical Affiliates University Faculty Prac CurrentSince Nov 1, 2025 Accepting new patients
Medical Services of Lenox Hill, PC CurrentSince Aug 15, 2024 Accepting new patients
Medical Services of Nassau, PC Past Accepting new patients

Locations

100 E 77th St
#2
New York, NY 10075
Phone (212) 434-2460

100 E 77th St
Fl 2
New York, NY 10075
Phone (212) 434-6279

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

57 W 57th St
Fl 15
New York, NY 10019
Phone (212) 289-0700

Interoperability endpoints

  • Direct secure messaging: tglanville60903@northwell.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1326703091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "646-329-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANVILLE",
        "first_name": "TREVOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.