Individual provider Active NPI

John Francis Glynn Jr., RN

  • Infusion Therapy Registered Nurse
  • New Windsor, NY
National Provider Identifier
1730908674
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
468092-1 Issued in NY
Practice address
11 Square Hill Rd Lot 14
New Windsor, NY 12553-8423
Phone
(845) 220-6006
Fax
(845) 567-9523
NPI assigned
Oct 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 468092-1 NY Primary

Addresses

Primary practice location

11 Square Hill Rd Lot 14
New Windsor, NY 12553-8423

Mailing address

11 Square Hill Rd Lot 14
New Windsor, NY 12553-8423
Phone (845) 220-6006

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
468092-1NYMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1730908674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SQUARE HILL RD LOT 14",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538423",
            "telephone_number": "845-220-6006",
            "fax_number": "845-567-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SQUARE HILL RD LOT 14",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125538423",
            "telephone_number": "845-220-6006",
            "fax_number": "845-567-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "468092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.