Active NPI
Constantine Gleboff, RN
- Registered Nurse
- Clinton, NY
National Provider Identifier
1336053107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 526749
- Practice address
- 166 Sanford Ave
Clinton, NY 13323-1342 - Phone
- (917) 574-8648
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 526749 | NY | Primary |
Addresses
Primary practice location
166 Sanford Ave
Clinton, NY 13323-1342
Mailing address
166 Sanford Ave
Clinton, NY 13323-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1336053107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 SANFORD AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 SANFORD AVE",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231342",
"telephone_number": "917-574-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEBOFF",
"first_name": "CONSTANTINE",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "526749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.