Active NPI
Barry Stephen Gloger, M. D.
- Orthopaedic Surgery Physician
- Forest Hills, NY
National Provider Identifier
1689661464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 135225
- Practice address
- 7211 Austin St Ste 124
Forest Hills, NY 11375-5354 - Phone
- (718) 643-1836
- NPI assigned
- Oct 5, 2005
- Last updated
- Sep 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 135225 | NY | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 135225 | NY | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 135225 | NY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 135225 | NY |
Addresses
Primary practice location
7211 Austin St Ste 124
Forest Hills, NY 11375-5354
Mailing address
7211 Austin St Ste 124
Forest Hills, NY 11375-5354
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13D431 | Other | NY | BC/BS |
| 135225-1B | Other | NY | WORKER'S COMPENSATION |
| 1008217012 | Medicaid | NY | |
| KS018 | Other | NY | OXFORD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135225 | NY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1689661464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 AUSTIN ST STE 124",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 AUSTIN ST STE 124",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755354",
"telephone_number": "718-643-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOGER",
"first_name": "BARRY",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "135225",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "135225",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "135225",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "135225",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "13D431",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "135225-1B",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008217012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KS018",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.