Organization Active NPI

Paul S Glassman DO PA

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1558608943
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS1476 Issued in FL
Legal business name
PAUL S GLASSMAN DO PA
Practice address
5935 NW 12TH Ave
Miami, FL 33127-1053
Phone
(786) 369-1225
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Paul S Glassman
Title
President
Phone
(786) 369-1225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS1476 FL Primary

Addresses

Primary practice location

5935 NW 12TH Ave
Miami, FL 33127-1053

Mailing address

5935 NW 12TH Ave
Miami, FL 33127-1053
Phone (786) 369-1225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1558608943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271053",
            "telephone_number": "786-369-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331271053",
            "telephone_number": "786-369-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S GLASSMAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-369-1225"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS1476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.