Glenn Donovan

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003550 Issued in NY

Practice address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Phone

(718) 616-4408

Fax

(718) 616-4105

NPI assigned

Nov 20, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jal 28 LLCGroup PAC ID 5193262830, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (14 of 18)

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: glenn.donovan@merrylandhealth.ehi.direct-ci.com
• Direct secure messaging: glenndonovan@mai.allscriptsdirect.net

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.

• Jal 28 LLC

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  Medicare reassignment Care Compare group NPD
• A Merryland Operating LLC

  • Adolescent Medicine (Family Medicine) Physician
  • Brooklyn, NY
  • NPI 1972848307
  Medicare reassignment NPD
• Bay Medical Care Services PLLC

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1457650152
  Medicare reassignment NPD
• Natalya Kozlov Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1225194269
  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Goldberg & Pellegrini, MD, P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1063636504
  Medicare reassignment
• Coney Island Podiatry Care P.C.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1760792634
  NPD (past) Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Comprehensive Rehabilitation Medicine P.C.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1053481838
  NPD (past)
• Coney Island Foot & Ankle Associates LLP

  • Foot & Ankle Surgery Podiatrist
  • Rego Park, NY
  • NPI 1215062286
  NPD (past)
• Doral Pharmacy LLC

  • Community/Retail Pharmacy
  • Brooklyn, NY
  • NPI 1558051482
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700950839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043116",
            "telephone_number": "718-331-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-4408",
            "fax_number": "718-616-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "GLENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00811101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Holland Donohue
• Stephanie L Donohue, NP
• Alexis Donovan, NP
• Caitlin Donovan
• Catherine Donovan
• Justin Donovan, D.P.M.
• Robin Donovan
• Dmitry Gregory Donsky, MD
• Liliya Dontsova
• Sarah Donzis, M.S., CCC-SLP

• Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.