Sheldon Gleich, MD
Individual provider Active NPI Infectious Disease Physician · Far Rocaway, NY
NPI 1700979481 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1700979481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 154693-1 (NY)
- Practice address
- 327 Beach 19TH Street
Far Rocaway, NY 11691 - Phone
- (718) 869-7672
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154693-1 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Beach Medical PC | Past | Accepting new patients | |
| St John'S Medical Services PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 154693-1 | NY | Yes |
Addresses
Primary practice location
327 Beach 19TH Street
Far Rocaway, NY 11691
Mailing address
327 Beach 19TH Street
Far Rocaway, NY 11691
Phone (718) 869-7672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00867652 | Medicaid | NY |
Other providers in Far Rocaway, NY
All providers in Far Rocaway, NY · Infectious Disease Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.