Samuel Glazer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

201348 Issued in NY

Practice address

3 E 85TH St
New York, NY 10028-0417

Phone

(212) 734-9859

NPI assigned

Mar 27, 2007

Last updated

Oct 29, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fifth Avenue Psychiatry Associates, PLLC

  dba Fifth Avenue Psychiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1669178596
  NPD Authorized official
• New York University Medical Center

  dba NYUMC Behavior Health Program

  • Psychiatry Physician
  • New York, NY
  • NPI 1235129800
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1740308444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280417",
            "telephone_number": "212-734-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "201348",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "201348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Glazer
• Jill Glazer
• Kate Thompson Glazer, LCSW
• Misty Glazer, LMSW
• Rachel Ann Glazer, M.S. CCC-SLP
• Lauren Glazin, MA
• Anastasia Glazunova, DO
• Sarah Elizabeth Gleacher, M.D.
• Abigail Gleason, PH.D.
• Brenna Gleason

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.