Individual provider Active NPI

Debbie Glass, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1730241704
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
201869 Issued in NY
Practice address
97 Amity St FL 1
Brooklyn, NY 11201
Phone
(929) 455-2500
NPI assigned
Dec 15, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201869 NY Primary

Addresses

Primary practice location

97 Amity St FL 1
Brooklyn, NY 11201

Mailing address

97 Amity St FL 1
Brooklyn, NY 11201-6004
Phone (929) 455-2500

Other practice location 1

186 Joralemon St
11th Floor
Brooklyn, NY 11201-4356
Phone (646) 962-4600

Other identifiers 4

IdentifierTypeStateIssuer
113655027OtherPHCS PROVIDER ID #
180061302OtherUNITED HEALTHCARE PROV ID
4301733005OtherCIGNA HEALTHCARE PROV ID
P726043OtherOXFORD FREEDOM PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dglass43778@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000735 NY Practitioner - Internal Medicine 0446338891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201869NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
New York University Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients
Murray Hill Medical Group PC PastSince Jun 1, 1992 Accepting new patients

Locations

186 Joralemon St
Fl 11
Brooklyn, NY 11201
Phone (646) 962-4600

70 Atlantic Ave
Fl 2
Brooklyn, NY 11201
Phone (929) 455-2500

97 Amity St
Fl 1
Brooklyn, NY 11201
Phone (929) 455-2500

317 E 34th St
Fl 9
New York, NY 10016
Phone (212) 726-7400

345 E 37th St
Rm 309
New York, NY 10016
Phone (212) 922-9599

380 2nd Ave
New York, NY 10010
Phone (212) 253-6600

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Interoperability endpoints

  • Direct secure messaging: dglass43778@nyumc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1730241704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AMITY ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "929-455-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "929-455-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Joralemon St",
            "address_2": "11th Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014356",
            "country_code": "US",
            "telephone_number": "646-962-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DEBBIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER ID #",
            "identifier": "113655027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV ID",
            "identifier": "180061302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE PROV ID",
            "identifier": "4301733005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM PROVIDER #",
            "identifier": "P726043",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dglass43778@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "97 Amity St Fl 1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.