Active NPI
Maya Gluck-Shats, M.D.
- Internal Medicine Physician
- Pomona, NY
National Provider Identifier
1750432787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 118139
- Practice address
- 26 Firemens Memorial Dr
Ste 215
Pomona, NY 10970-3553 - Phone
- (845) 354-0011
- Fax
- (845) 354-0147
- NPI assigned
- Jan 16, 2007
- Last updated
- Apr 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 118139 | NY | Primary |
Addresses
Primary practice location
26 Firemens Memorial Dr
Ste 215
Pomona, NY 10970-3553
Mailing address
20 Grand St
3Rd Floor
Warwick, NY 10990-1035
Phone (845) 987-3906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01541675 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- Quality
- 87.82
- Promoting interoperability
- 92
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118139 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Our Lady of Mercy Ambulatory Care Center, Inc. | Past | Accepting new patients | |
| Afg Internal Medicine Associates PLLC | Internal Medicine | Past | Accepting new patients |
| Our Lady of Mercy Medical Center | Past | Accepting new patients |
Interoperability endpoints
- mayagluck-shats@mai.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1629118377
-
- Podiatric Clinic/Center
- Bronx, NY
- NPI 1477704948
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Bronx, NY
- NPI 1669412847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1750432787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GRAND ST",
"address_2": "3RD FLOOR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109901035",
"telephone_number": "845-987-3906",
"fax_number": "845-987-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FIREMENS MEMORIAL DR",
"address_2": "STE 215",
"city": "POMONA",
"state": "NY",
"postal_code": "109703553",
"telephone_number": "845-354-0011",
"fax_number": "845-354-0147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK-SHATS",
"first_name": "MAYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "118139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01541675",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.