Active NPI
Glenford Nixon, M.D., P.C.
- Geriatric Medicine (Internal Medicine) Physician
- Middle Island, NY
National Provider Identifier
1508104969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 173410-1
- Legal business name
- GLENFORD NIXON, M.D., P.C.
- Practice address
- 49 Oakcrest Ave
Middle Island, NY 11953-1415 - Phone
- (631) 924-8820
- NPI assigned
- Jan 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenford Nixon
- Title
- President
- Phone
- (516) 922-1056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 173410-1 | NY | Primary |
Addresses
Primary practice location
49 Oakcrest Ave
Middle Island, NY 11953-1415
Mailing address
8 South Rd
Oyster Bay, NY 11771-1906
Phone (516) 922-1056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173410-1 | Other | NY | NYS LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- New Hyde Park, NY
- NPI 1255425062
-
- Geriatric Medicine (Family Medicine) Physician
- Bronx, NY
- NPI 1619983251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358553600000",
"number": "1508104969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SOUTH RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117711906",
"telephone_number": "516-922-1056",
"fax_number": "516-624-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 OAKCREST AVE",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531415",
"telephone_number": "631-924-8820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENFORD NIXON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-19",
"last_updated": "2013-01-19",
"status": "A",
"authorized_official_last_name": "NIXON",
"authorized_official_first_name": "GLENFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-922-1056",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "173410-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "173410-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middle Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.