Organization Active NPI

Burton J Glass MD PC

  • Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1760798086
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
113037-1 Issued in NY
Legal business name
BURTON J GLASS MD PC
Practice address
24 Maple Ave
Rockville Centre, NY 11570-4259
Phone
(516) 536-3737
Fax
(516) 536-3676
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Dr. Burton Glass
Title
MD
Phone
(515) 536-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 113037-1 NY Primary

Addresses

Primary practice location

24 Maple Ave
Rockville Centre, NY 11570-4259

Mailing address

24 Maple Ave
Rockville Centre, NY 11570-4259
Phone (516) 536-3737

National Provider Directory

National Provider Directory

Locations

24 Maple Ave
Ste 2
Rockville Ctr, NY 11570
Phone (516) 536-3737

24 Maple Ave
Rockville Ctr, NY 11570
Phone (516) 536-3737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1760798086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704259",
            "telephone_number": "516-536-3737",
            "fax_number": "516-536-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704259",
            "telephone_number": "516-536-3737",
            "fax_number": "516-536-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTON J GLASS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "BURTON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "515-536-3737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "113037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.