NPIMap

Individual provider Active NPI

Glauco Radoslovich, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Hackensack, NJ
National Provider Identifier
1598732935
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
25MA0575800 Issued in NJ
Practice address
20 Prospect Ave
Ste 701
Hackensack, NJ 07601-1997
Phone
(201) 996-2997
Fax
(201) 996-2571
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 25MA0575800 NJ Primary

Addresses

Primary practice location

20 Prospect Ave
Ste 701
Hackensack, NJ 07601-1997

Mailing address

100 Winston Dr
11CS
Cliffside PK, NJ 07010-3240
Phone (201) 224-9845

Other identifiers 8

IdentifierTypeStateIssuer
2101549OtherNJGHI PPO
BS504OtherNJOXFORD
81061OtherNJAMERIGROUP
000000120940OtherNJGHI HMO
02868633MedicaidNY
4545953OtherNJAETNA PPO
2307025OtherNJAETNA HMO
5387906MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040812000196 NJ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7113999889 Reassigns benefits to 3 organizations
I20050616000185 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7113999889

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

20 Prospect Ave
Suite 615
Hackensack, NJ 07601-1997
Phone (551) 996-2997

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250

350 Engle St
Englewood, NJ 07631-1808

350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA0575800NJMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Cardiovascular Partners, PC CurrentSince Jan 1, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince May 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. PastSince Dec 6, 2009 Accepting new patients
Metropolitan Cardiology Consultants, LLC Clinical Cardiac Electrophysiology Past Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC PastSince Oct 23, 2022 Accepting new patients

Locations

20 Prospect Ave
Ste 701
Hackensack, NJ 07601
Phone (201) 996-2997

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

20 Prospect Ave
Ste 615
Hackensack, NJ 07601
Phone (201) 996-0308

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

255 Lafayette Ave
Ste 701
Suffern, NY 10901
Phone (845) 368-5953

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: gradoslovich190138@ahs.direct-ci.com
  • Direct secure messaging: glauco.radoslovich@direct.hackensackmeridian.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1598732935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WINSTON DR",
            "address_2": "11CS",
            "city": "CLIFFSIDE PK",
            "state": "NJ",
            "postal_code": "070103240",
            "telephone_number": "201-224-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "STE 701",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-996-2997",
            "fax_number": "201-996-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSLOVICH",
        "first_name": "GLAUCO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NJ",
            "license": "25MA0575800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "2101549",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BS504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "81061",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000120940",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02868633",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4545953",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2307025",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5387906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.