Individual provider Active NPI

Sidney S. Glasberg, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Long Island City, NY
National Provider Identifier
1679641328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
091795 Issued in NY
Practice address
4325 Hunter St
Long Island City, NY 11101-4212
Phone
(718) 269-1620
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 091795 NY Primary

Addresses

Primary practice location

4325 Hunter St
Long Island City, NY 11101-4212

Mailing address

1751 Bard LN
East Meadow, NY 11554-1503
Phone (516) 794-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
091795NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Insurance Plan of Greater Ny Past Accepting new patients
Health Insurance Plan of Greater Ny Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679641328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BARD LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541503",
            "telephone_number": "516-794-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 HUNTER ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014212",
            "telephone_number": "718-269-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASBERG",
        "first_name": "SIDNEY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "091795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.