Mark Glod, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

007459 Issued in NY

Practice address

11915 Rockaway Beach Blvd
Rockaway Park, NY 11694-1970

Phone

(718) 634-3211

Fax

(718) 634-0926

NPI assigned

May 14, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1659937704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211",
            "fax_number": "718-634-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 ROCKAWAY BEACH BLVD",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116941970",
            "telephone_number": "718-634-3211",
            "fax_number": "718-634-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOD",
        "first_name": "MARK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kerri Gavitt, PNP
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• Afshin Gholomhassani, M.D.
• Mary Kay A Gibbons, RN
• Katelyn Gill, LMHC
• Estrella Frances Morillo Glover
• Dmitry Goldfeld, RPH
• Keisha M Goldsmith
• Lisamarie Guidice, DPM
• Sadhana Gupta, M.D.

• Physical Medicine & Rehabilitation Physician in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.