Active NPI
Kevin M Glassman, MD
- Anesthesiology Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 173633
- Practice address
- 58 School St
Suite 102
Glen Cove, NY 11542-2547 - Phone
- (516) 674-0404
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 173633 | NY | Primary |
Addresses
Primary practice location
58 School St
Suite 102
Glen Cove, NY 11542-2547
Mailing address
58 School St
Suite 102
Glen Cove, NY 11542-2547
Phone (516) 674-0404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L241 | Other | NY | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173633 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Anesthesia Medical Specialists, PLLC | Anesthesiology | Current | Accepting new patients |
| Emusc, LLC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Endoscopy Center of Long Island LLC | Current | Accepting new patients | |
| Emusc, LLC | Current | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254
8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
27005 76th Ave
North New Hyde Pk, NY 11040
100 Crossways Park Dr W
Ste 206A
Woodbury, NY 11797
Phone (516) 967-0677
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Endoscopy Clinic/Center
- Garden City, NY
- NPI 1770718009
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Woodbury, NY
- NPI 1083223887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457459927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 SCHOOL ST",
"address_2": "SUITE 102",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422547",
"telephone_number": "516-674-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 SCHOOL ST",
"address_2": "SUITE 102",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422547",
"telephone_number": "516-674-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "KEVIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "173633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8L241",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
- Anna Olivia Georgoulas
- James A. Germano, D.D.S
- Daniel Giedt, NP
- Mary Gilroy-Doohan, MD
- Anthony Girardi, MD
- Glen Cove Arena Taxi LLC.
- Glen Cove Counseling LCSW, PLLC
- Glen Cove Dental Services PC Ross Bederman DDS
- Glen Cove Faculty Medical Affiliates, University Faculty Practice Corp
- Glen Cove Family Medicine. PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.