Glendale Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GLENDALE MEDICAL GROUP

Practice address

6835 Myrtle Ave
Glendale, NY 11385-7234

Phone

(718) 386-9876

Fax

(718) 628-0108

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Alison McCabe

Title

Office Manager

Phone

(718) 386-9876

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1437102803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "718-386-9876",
            "fax_number": "718-628-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857234",
            "telephone_number": "718-386-9876",
            "fax_number": "718-628-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-386-9876",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Family Medicine, PC
• Glendale Family Medicine,PC
• Glendale Medical Accurate Care
• Glendale Medical Associates PC
• Glendale Medical Associates PC
• Glendale Pediatrics P.C.
• Glendale Pharmacy Inc
• Glendale Volunteer Ambulance
• Glendale Walk-in Medical Care, PC
• Glenridge Pharmacy LLC

• Internal Medicine Physician in Glendale, NY
• Providers in Glendale, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.