Gary Glazer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179413 Issued in NY

Practice address

220 Alexander St
Suite 106
Rochester, NY 14607-4008

Phone

(585) 546-1272

Fax

(585) 325-4443

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Shylasree Krishnan, Physician, PLLC

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1689896276
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1619991338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-546-1272",
            "fax_number": "585-325-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 106",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-546-1272",
            "fax_number": "585-325-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3185",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010201380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101299BJ",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01748223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7624278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Anne Glasser, RN
• Barbara Glatz-Cotton, FNP
• Catherine Elizabeth Glatz, MD
• Rachael Glavin
• Abraham A Glazer, MD
• Rachel Schrager Glazer, LCSW
• Colleen E. Glazier, FNP-BC
• Cassandra L Gleason, FNP-C
• Kathleen Gleason, MS RD
• Kristen Gleason, LMSW

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.