Sidney Glanz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

118141 Issued in NY

Practice address

120 Mineola Blvd
Suite 10 Lower Level
Mineola, NY 11501-4064

Phone

(516) 663-4510

Fax

(516) 663-3698

NPI assigned

Jun 13, 2006

Last updated

Jul 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1649213323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-5560",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191955560",
            "telephone_number": "888-220-1235",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MINEOLA BLVD",
            "address_2": "SUITE 10 LOWER LEVEL",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014064",
            "telephone_number": "516-663-4510",
            "fax_number": "516-663-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANZ",
        "first_name": "SIDNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "118141",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "118141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00612051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Gillingham, MD
• Barry R Gimbel, MD
• Justin G Gimoto, MD
• Matthew Salvatore Giuca, MD
• Glenn Glantz
• Chana Glasser, MD
• Fred Gary Glasser, MD
• Jonathan D Glassman, MD
• Loretto Glynn, M.D.
• Joshua Golbari

• Diagnostic Radiology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.