Vyacheslav Glukh

Primary specialty

Single Specialty GroupTaxonomy code 193400000X

License

019190 Issued in NY

Practice address

31 Gwenn Loop
Staten Island, NY 10314-6401

Phone

(347) 733-1774

NPI assigned

Nov 4, 2013

Last updated

Feb 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Impact Occupational Therapy PCGroup PAC ID 0345539755, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• High Impact Occupational Therapy PC

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1346647385

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Provider Rehab, OT. P.C.

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1205294691

  Single Specialty

  Medicare reassignment NPD
• Rehab on Wheels OT PT PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1245754225

  Single Specialty

  Medicare reassignment NPD
• Island Rehab PT OT PLLC

  • Occupational Therapist
  • Staten Island, NY
  • NPI 1881047223

  Single Specialty

  NPD (past)
• Prokinetics Physical Therapy P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1922412220

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1447689179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 19TH AVE APT 6J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GWENN LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146401",
            "telephone_number": "347-733-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUKH",
        "first_name": "VYACHESLAV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "NY",
            "license": "019190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginaflor Glorioso, PT
• Tiesha Glover-Kouame, LPN
• Bintu Glover, LPN
• Glow Gain LLC
• Alec Glucksman, DO
• Kristina Glushkova
• Keirstin Glynn-Nevins
• GM Family Resources Inc.
• Toni Rae Marie Gnall, M.A., CCC-SLP
• Roman Gnatenko

• Single Specialty Group in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Single Specialty Group in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.