Jordan B. Glaser M.D.P.C

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

JORDAN B. GLASER M.D.P.C

Practice address

1408 Richmond Rd
Staten Island, NY 10304-2312

Phone

(718) 816-3362

Fax

(718) 979-4650

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Jordan Barry Glaser, M.D.P.C.

Title

Infectious Disease Specialist

Phone

(718) 816-3362

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry A. Blanchard, PA-C

  • Medical Physician Assistant
  • Bee Cave, TX
  • NPI 1649356619
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1700931359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042312",
            "telephone_number": "718-816-3362",
            "fax_number": "718-979-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042312",
            "telephone_number": "718-816-3362",
            "fax_number": "718-979-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN B. GLASER M.D.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "INFECTIOUS DISEASE SPECIALIST",
        "authorized_official_telephone_number": "718-816-3362",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02550172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon R Sundell DPM PC
• Jona Care Physical Therapy PC
• Alexa V. Jones
• Renee Jones, LCSW
• Eui-Don Joo, M.D.
• Jordan Lissauer Orthodontics PC
• Kathleen Jordan, RN
• Melissa Jordan, M.S. CCC-SLP
• Sayleen Jordan
• David Alroy Jorsling

• Infectious Disease Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.