Individual provider Active NPI

Aaron Glockenberg, DPM

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1588658967
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003013 Issued in NY
Practice address
2445 Arthur Ave
Bronx, NY 10458-6003
Phone
(718) 733-1999
Fax
(718) 584-3544
NPI assigned
Aug 31, 2005
Last updated
Feb 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003013 NY Primary

Addresses

Primary practice location

2445 Arthur Ave
Bronx, NY 10458-6003

Mailing address

2445 Arthur Ave
Bronx, NY 10458-6003
Phone (718) 733-1999

Other identifiers 7

IdentifierTypeStateIssuer
00423432MedicaidNY
0028634OtherNYGROUP HEALTH INCORPORATED
P665624OtherNYOXFORD
1000001488OtherNYAFFINITY HEALTH PLAN
003013-A19OtherNYHEALTH FIRST
10471519OtherNYHEALTH NET
129710101OtherNYHEALTH PLUS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001604 NY Practitioner - PodiatryPractitioner - Pediatric Medicine 2567452543 Reassigns benefits to 4 organizations
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Clinics of New YorkGroup PAC ID 5294626636, 17 clinicians

Practice addresses (Care Compare)

55 E 124TH St
New York, NY 10035-1815
Phone (212) 410-8158

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue88
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003013NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Apr 2, 2017 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 3, 2009 Accepting new patients
Foot Clinics of New York Podiatrist CurrentSince Nov 1, 1982 Accepting new patients
Bronxcare Health System CurrentSince Apr 2, 2017 Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients

Locations

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

1265 Franklin Ave
Fl 6
Bronx, NY 10456

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

1901 1st Ave
Rm 5
New York, NY 10029
Phone (212) 423-7095

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

50 Water St
Fl 3
New York, NY 10004

55 E 124th St
New York, NY 10035
Phone (212) 410-8112

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aglockenberg20557@sbhny.direct-ci.net
  • Direct secure messaging: aglockenberg840085@nychhc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1588658967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586003",
            "telephone_number": "718-733-1999",
            "fax_number": "718-584-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586003",
            "telephone_number": "718-733-1999",
            "fax_number": "718-584-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOCKENBERG",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0028634",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P665624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000001488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "003013-A19",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "10471519",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "129710101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.