Glenn S Kroog, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

183916 Issued in NY

Practice address

Memorial Sloan-Kettering Cancer Center
1275 York Avenue
New York, NY 10065

Phone

(646) 422-4313

Fax

(212) 988-0683

NPI assigned

Mar 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Medical Oncology

  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1689798969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEMORIAL SLOAN-KETTERING CANCER CENTER",
            "address_2": "1275 YORK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "646-422-4313",
            "fax_number": "212-988-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEMORIAL SLOAN-KETTERING CANCER CENTER",
            "address_2": "1275 YORK AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "646-422-4313",
            "fax_number": "212-988-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROOG",
        "first_name": "GLENN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "183916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02134247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Kronick, MSN, MPH, CPNP
• Alex Kronis, RPH
• Ian M Kronish, MD
• Hope Kronman, MD, PHD
• Kenneth Louis Kronstadt, D.M.D.
• Adam Joseph Kroopnick, MD
• Pamela Krooth, LMSW
• Christopher John Kroppmann, MD
• Iryna Krotava, PH.D.
• Mona Ann Krouss, M.D.

• Medical Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Medical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.