Individual provider Active NPI

Adam Glassman, M.D.

  • Specialist
  • Englewood, NJ
National Provider Identifier
1710046800
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA056924 Issued in NJ
Practice address
180 N Dean St
Englewood, NJ 07631-2534
Phone
(201) 871-8366
Fax
(201) 871-8356
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA056924 NJ Primary

Addresses

Primary practice location

180 N Dean St
Englewood, NJ 07631-2534

Mailing address

180 N Dean St
Englewood, NJ 07631-2534
Phone (201) 871-8366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000777 NJ Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 2062695794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Name Pulmonary Associates PCGroup PAC ID 2466514674, 15 clinicians

Practice addresses (Care Compare)

180 N Dean St
Englewood, NJ 07631-2534
Phone (201) 871-8366

200 Grand Ave
Suite 102
Englewood, NJ 07631-4363
Phone (201) 871-3636

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone 20183330007405

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA056924NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Name Pulmonary Associates, PC CurrentSince Jun 1, 2013 Accepting new patients

Locations

200 Grand Ave
Ste 102
Englewood, NJ 07631
Phone (201) 481-7160

180 N Dean St
Englewood, NJ 07631
Phone (201) 568-4242

180 N Dean St
Ste 2N
Englewood, NJ 07631
Phone (201) 569-9800

180 N Dean St
Ste 202
Englewood, NJ 07631

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

721 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 455-6868

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1710046800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312534",
            "telephone_number": "201-871-8366",
            "fax_number": "201-871-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N DEAN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312534",
            "telephone_number": "201-871-8366",
            "fax_number": "201-871-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA056924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.