Active NPI
Glass & Inserra, M.D P.C.
- Orthopaedic Surgery Physician
- Smithtown, NY
National Provider Identifier
1710156500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 116939
- Legal business name
- GLASS & INSERRA, M.D P.C.
- Practice address
- 309 Middle Country Rd
Suite 101
Smithtown, NY 11787-2844 - Phone
- (631) 360-2200
- Fax
- (631) 360-1328
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth S Glass, M.D.
- Title
- President
- Phone
- (631) 360-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 116939 | NY | Primary |
Addresses
Primary practice location
309 Middle Country Rd
Suite 101
Smithtown, NY 11787-2844
Mailing address
309 Middle Country Rd
Suite 101
Smithtown, NY 11787-2844
Phone (631) 360-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710156500 | Medicaid | NY | |
| CF3379 | Other | NY | RR MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1710156500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MIDDLE COUNTRY RD",
"address_2": "SUITE 101",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872844",
"telephone_number": "631-360-2200",
"fax_number": "631-360-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 MIDDLE COUNTRY RD",
"address_2": "SUITE 101",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872844",
"telephone_number": "631-360-2200",
"fax_number": "631-360-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASS & INSERRA, M.D P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "GLASS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-360-2200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "116939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710156500",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CF3379",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.