Active NPI
Glenn D Babus, DO
- Pain Medicine (Anesthesiology) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 228217-1
- Practice address
- 1099 Targee St
Staten Island, NY 10304 - Phone
- (718) 448-3210
- Fax
- (718) 984-2642
- NPI assigned
- Nov 9, 2005
- Last updated
- Jan 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | J0434 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | H0073176 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0102201908 | VA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | DO0000002111 | TN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MB09495900 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 228217-1 | NY | Primary |
Addresses
Primary practice location
1099 Targee St
Staten Island, NY 10304
Mailing address
2535 Arthur Kill Rd
Staten Island, NY 10309-1207
Phone (718) 448-3210
Other practice location 1
3311 Hylan Blvd
Staten Island, NY 10306-3611
Phone (718) 448-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0073176 | MD | MD | Pain Medicine (Anesthesiology) Physician |
| 25MB09495900 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
| 228217-1 | NY | MD | Pain Medicine (Anesthesiology) Physician |
| DO0000002111 | TN | MD | Pain Medicine (Anesthesiology) Physician |
| J0434 | TX | MD | Pain Medicine (Anesthesiology) Physician |
| 0102201908 | VA | MD | Pain Medicine (Anesthesiology) Physician |
| 2111 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Jones M.D.,P.a. | Pain Medicine | Current | Accepting new patients |
| A Life Without Pain LLC | Pain Medicine | Current | Accepting new patients |
| A Life Without Pain NJ PC | Pain Medicine | Current | Accepting new patients |
| David R Jones M.D.,P.a. | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| True North Medical Group PC | Current | Accepting new patients | |
| Vascura Pain & Vein PA | Pain Medicine | Current | Accepting new patients |
| 45 Urgent Care, P.C. | Current | Accepting new patients |
Locations
36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570
1099 Targee St
Staten Island, NY 10304
3311 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-3111
3333 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-3333
149 N Star Dr
Jackson, TN 38305
Phone (731) 499-8634
3070 College St
Ste 406
Beaumont, TX 77701
Phone (409) 434-4735
610 Strickland Dr
Ste 320
Orange, TX 77630
Phone (409) 670-0700
6901 Medical Center Dr
Ste 230
Orange, TX 77630
Phone (409) 883-5300
Interoperability endpoints
- glennbabus@nslijmedgr.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orlin & Cohen Medical Specialists Group
- Orthopaedic Surgery Physician
- Merrick, NY
- NPI 1659883486
-
- Family Medicine Physician
- Jackson, TN
- NPI 1912326539
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Orange, TX
- NPI 1407032782
Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- New City, NY
- NPI 1568334225
-
- Pain Medicine (Anesthesiology) Physician
- Edgewater, NJ
- NPI 1619817236
-
- Pain Medicine (Anesthesiology) Physician
- Lodi, NJ
- NPI 1841149309
-
dba Orlin and Cohen Medical Specialist Group
- Oxygen Equipment & Supplies (DME)
- Tarrytown, NY
- NPI 1669272886
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Beaumont, TX
- NPI 1649663857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1700867413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 ARTHUR KILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103091207",
"telephone_number": "718-448-3210",
"fax_number": "718-984-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 TARGEE ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10304",
"telephone_number": "718-448-3210",
"fax_number": "718-984-2642"
}
],
"practiceLocations": [
{
"address_1": "3311 Hylan Blvd",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103063611",
"country_code": "US",
"telephone_number": "718-448-3210",
"fax_number": "718-984-2642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABUS",
"first_name": "GLENN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "J0434",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MD",
"license": "H0073176",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0102201908",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "DO0000002111",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MB09495900",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "228217-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.