NPIMap

Organization Active NPI

Glacier Cryo Medical P.C

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1689889974
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GLACIER CRYO MEDICAL P.C
Practice address
310 E 72ND St
New York, NY 10021-4726
Phone
(718) 222-5999
NPI assigned
May 11, 2007
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Leonid RosinNPI 1437211497
Title
Anesthesiology
Phone
(718) 222-5999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

310 E 72ND St
New York, NY 10021-4726

Mailing address

181 E 73Rd St Apt 20a
New York, NY 10021-3566
Phone (718) 222-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070703000606 NY Part B Supplier - Clinic/Group Practice 8527168509 Receives reassigned benefits from 39 practitioners
Practice locations: Staten Island, NY; New York, NY; Lawrence, NY; Forest Hills, NY; Latham, NY; Brooklyn, NY
O20120214000096 NJ Part B Supplier - Clinic/Group Practice 8527168509 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ
O20150618002977 FL Part B Supplier - Clinic/Group Practice 8527168509 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

5850 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 714-8200

1711 W 12th St
Brooklyn, NY 11223
Phone (718) 436-3900

711 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 783-0710

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1689889974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E 73RD ST APT 20A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213566",
            "telephone_number": "718-222-5999",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214726",
            "telephone_number": "718-222-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER CRYO MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "ROSIN",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "718-222-5999"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.