Active NPI
Lauren Danielle Glass, MD
- Pediatric Cardiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 263908
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (212) 241-8662
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 263908 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
1 Gustave L. Gustave
New York, NY 10029
Phone (212) 241-8662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04996567 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Pediatric Cardiology | Current | Accepting new patients |
Locations
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
1276 Fulton Ave
Rm 219
Bronx, NY 10456
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4910 Mueller Blvd
Ste 102
Austin, TX 78723
Phone (512) 777-2917
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
Interoperability endpoints
- lauren.glassmd.p105@direct.mednax.nextgenshare.com
- lauren.glass.1@8363.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
Pediatric Cardiology
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1790103869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1386923381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L. GUSTAVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-8662",
"fax_number": "212-534-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-241-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "LAUREN",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NY",
"license": "263908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04996567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.