Organization Active NPI

Glenford Nixon, M.D., P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Middle Island, NY
National Provider Identifier
1508104969
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
173410-1 Issued in NY
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

Updated by the provider on Jan 19, 2013

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
173410-1OtherNYNYS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.