Individual provider Active NPI

Andrew S Glass, MD

  • Neurological Surgery Physician
  • Somers Point, NJ
National Provider Identifier
1679622500
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA05591200 Issued in NJ
Practice address
110 Harbor Lane
Somers Point, NJ 08244-2470
Phone
(609) 653-9110
Fax
(609) 653-4105
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA05591200 NJ Primary

Addresses

Primary practice location

110 Harbor Lane
Somers Point, NJ 08244-2470

Mailing address

110 Harbor Lane
Somers Point, NJ 08244-2470
Phone (609) 653-9110

Other practice location 1

24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050803000723 NJ Practitioner - Neurosurgery 9335177955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Icahn School of Medicine at Mount Sinai, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthonj LLCGroup PAC ID 6800225178, 302 clinicians

Practice addresses (Care Compare)

24 Macarthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopaedic University Associates PA CurrentSince Nov 6, 2024 Accepting new patients
Orthonj LLC CurrentSince Nov 6, 2024 Accepting new patients
Orthonj LLC CurrentSince Nov 6, 2024 Accepting new patients

Locations

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

Interoperability endpoints

  • Direct secure messaging: andrewglass@cpsnj.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCEDD

Organizations & group practices 3

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 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1679622500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARBOR LANE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9110",
            "fax_number": "609-653-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HARBOR LANE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470",
            "telephone_number": "609-653-9110",
            "fax_number": "609-653-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441776",
            "country_code": "US",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ANDREW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA05591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.