Active NPI
Les Jay Glubo, D P M
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1720072606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N003241
- Practice address
- 122 E 42ND St
Suite # 2901
New York, NY 10168-0002 - Phone
- (212) 697-3293
- Fax
- (212) 949-7579
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N003241 | NY | Primary |
Addresses
Primary practice location
122 E 42ND St
Suite # 2901
New York, NY 10168-0002
Mailing address
122 E 42ND St
Suite # 2901
New York, NY 10168-0002
Phone (212) 697-3293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003241 | NY | MD | Foot & Ankle Surgery Podiatrist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1720072606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E 42ND ST",
"address_2": "SUITE # 2901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101680002",
"telephone_number": "212-697-3293",
"fax_number": "212-949-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 42ND ST",
"address_2": "SUITE # 2901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101680002",
"telephone_number": "212-697-3293",
"fax_number": "212-949-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUBO",
"first_name": "LES",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D P M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N003241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.