Active NPI
Morton L Glaser, MD
- Specialist
- Port Jefferson, NY
National Provider Identifier
1487657755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 138372
- Practice address
- 60 N Country Rd
Ste 203
Port Jefferson, NY 11777-2188 - Phone
- (631) 509-1888
- Fax
- (877) 434-7939
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 138372 | NY | Primary |
Addresses
Primary practice location
60 N Country Rd
Ste 203
Port Jefferson, NY 11777-2188
Mailing address
60 N Country Rd
Port Jefferson, NY 11777-2188
Phone (631) 509-1888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00653576 | Medicaid | NY | |
| 50A65EC831 | Other | NY | MEDICARE OTHER PIN |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138372 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore Pulmonary Assoc LLP | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
972 Brush Hollow Rd
Westbury, NY 11590
Interoperability endpoints
- mortonglaser@spal-ny.direct.office.nextgen.com
Organizations & group practices 3
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Pulmonary Disease Physician
- Port Jefferson, NY
- NPI 1780877118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386288000000",
"number": "1487657755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N COUNTRY RD",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772188",
"telephone_number": "631-509-1888",
"fax_number": "877-434-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N COUNTRY RD",
"address_2": "STE 203",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772188",
"telephone_number": "631-509-1888",
"fax_number": "877-434-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASER",
"first_name": "MORTON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2013-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "138372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00653576",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OTHER PIN",
"identifier": "50A65EC831",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.
- 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.