Active NPI
Glorimar Atiles MD PLLC
- Surgery Physician
- Albany, NY
National Provider Identifier
1366600298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2011
- 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. Glorimar Atiles, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02748112 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- Albany, NY
- NPI 1295778025
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.