Individual provider Active NPI

Cliff Glasser, D.O.

  • Nephrology Physician
  • North Miami Beach, FL
National Provider Identifier
1639132897
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS4514 Issued in FL
Practice address
16401 NW 2ND Ave
Suite 203
North Miami Beach, FL 33169-6036
Phone
(305) 999-0009
NPI assigned
Apr 10, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS4514 FL Primary

Addresses

Primary practice location

16401 NW 2ND Ave
Suite 203
North Miami Beach, FL 33169-6036

Mailing address

3631 N 54TH Ave
Hollywood, FL 33021-2339

Other identifiers 1

IdentifierTypeStateIssuer
067595400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000478 FL Practitioner - Internal MedicinePractitioner - Nephrology 4385839885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cliff M. Glasser, DO., PA.Group PAC ID 9931394582, 3 clinicians

Practice addresses (Care Compare)

16401 NW 2ND Ave
Suite 203
North Miami Beach, FL 33169-6036
Phone (305) 999-0009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4514FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cliff M. Glasser, DO., PA. Nephrology CurrentSince Jun 16, 2010 Accepting new patients
Fabiola B Schlessinger MD PA CurrentSince Jun 20, 2011 Accepting new patients
North Beach Dialysis Center, LLC PastSince Aug 15, 2021 Accepting new patients
Orion Medical Enterprises, Inc. Past Accepting new patients

Locations

1000 Park Centre Blvd
Ste 134
Miami, FL 33169
Phone (305) 651-3261

16401 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 945-7136

16401 NW 2nd Ave
Ste 203
North Miami Beach, FL 33169
Phone (305) 623-1212

19559 NE 10th Ave
North Miami Beach, FL 33179
Phone (305) 651-3261

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cliff.glasser.1@17638.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17638/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1639132897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 N 54TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-999-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "CLIFF",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS4514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067595400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.