Glenn Thomas Werneburg, MD, PHD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X

License

345021 Issued in NY

Practice address

140 N Belle Mead Ave Ste D
East Setauket, NY 11733-6400

Phone

(631) 638-2200

Fax

(631) 706-3002

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1699272229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948192",
            "telephone_number": "631-444-6270",
            "fax_number": "631-444-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N BELLE MEAD AVE STE D",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336400",
            "telephone_number": "631-638-2200",
            "fax_number": "631-706-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNEBURG",
        "first_name": "GLENN",
        "middle_name": "THOMAS",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "345021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy E Weiner, RN
• Jody Weiss-Burns, MS
• Brianne Marie Weiss, PHARMD
• Lee Weiss, M.D.
• Sarah Brown Weissbart, MD
• Sebastian Wernecke, PA
• William Wertheim, M.D.
• Jerome M Wexler, R.PH.
• White Crane Acupuncture, P. C. (Natural Approach Healthcare)
• Patrice White

• Urology Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.