Organization Active NPI

Glorimar Atiles MD PLLC

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1366600298
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GLORIMAR ATILES MD PLLC
Practice address
319 S Manning Blvd
Suite 304
Albany, NY 12208-1742
Phone
(518) 525-5206
Fax
(518) 525-5209
NPI assigned
May 28, 2008
Last updated
May 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Glorimar Atiles, MDNPI 1295778025
Title
Owner MD
Phone
(518) 525-5206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

319 S Manning Blvd
Suite 304
Albany, NY 12208-1742

Mailing address

PO Box 194
Albany, NY 12201-0194
Phone (518) 525-5206

Other identifiers 1

IdentifierTypeStateIssuer
02748112MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1366600298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122010194",
            "telephone_number": "518-525-5206",
            "fax_number": "518-525-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 304",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-525-5206",
            "fax_number": "518-525-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIMAR ATILES MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "ATILES",
        "authorized_official_first_name": "GLORIMAR",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "518-525-5206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02748112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.