Individual provider Active NPI

Steven J Glasser, MD

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1477611101
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22774 Issued in CT
Practice address
73 North Water Street
Greenwich, CT 06830-5815
Phone
(203) 531-9354
Fax
(203) 531-5133
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22774 CT Primary
Internal Medicine Physician 207R00000X 1410471 NY

Addresses

Primary practice location

73 North Water Street
Greenwich, CT 06830-5815

Mailing address

73 North Water Street
Greenwich, CT 06830-5815
Phone (203) 531-9354

Other identifiers 1

IdentifierTypeStateIssuer
001227743MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000095 NY Practitioner - Internal Medicine 9739376377 Practice locations: Port Chester, NY; Rye Brook, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1410471NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1477611101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NORTH WATER STREET",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305815",
            "telephone_number": "203-531-9354",
            "fax_number": "203-531-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 NORTH WATER STREET",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305815",
            "telephone_number": "203-531-9354",
            "fax_number": "203-531-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "22774",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1410471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001227743",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.