Glenn Gilberg, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

006260 Issued in NY

Practice address

6870 E Genesee St
Fayetteville, NY 13066-1031

Phone

(315) 679-4367

Fax

(315) 679-4368

NPI assigned

Mar 31, 2007

Last updated

Sep 12, 2025By 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Zaki Badawy, MD PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1871206474
  Medicare reassignment Care Compare group
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Medicare reassignment
• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  Medicare reassignment
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393
  Medicare reassignment
• Auburn Memorial Medical Services, PC

  dba Auburn Orthopaedic Services

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Waterville, NY
  • NPI 1477080604
  NPD
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hamilton, NY
  • NPI 1609303692
  NPD
• Syracuse Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Syracuse, NY
  • NPI 1669410379
  NPD (past)
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Elmira, NY
  • NPI 1154807733
  NPD (past)
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1720445067
  NPD (past)
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1770603755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661031",
            "telephone_number": "315-679-4367",
            "fax_number": "315-679-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3504 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132192008",
            "country_code": "US",
            "telephone_number": "315-401-0754",
            "fax_number": "315-401-0755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7375 Oswego Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903717",
            "country_code": "US",
            "telephone_number": "315-291-0064",
            "fax_number": "315-291-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 W Garden St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130212663",
            "country_code": "US",
            "telephone_number": "315-252-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6227 Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132061405",
            "country_code": "US",
            "telephone_number": "315-937-2007",
            "fax_number": "315-937-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 State Highway 23",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138204508",
            "country_code": "US",
            "telephone_number": "607-376-5346",
            "fax_number": "607-376-5347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2549 Vestal Pkwy E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138502084",
            "country_code": "US",
            "telephone_number": "607-225-0566",
            "fax_number": "607-225-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211407",
            "country_code": "US",
            "telephone_number": "315-258-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 Genesee Street Rd",
            "address_purpose": "LOCATION",
            "city": "Skaneateles",
            "state": "NY",
            "postal_code": "13152",
            "country_code": "US",
            "telephone_number": "315-685-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8003 Brewerton Rd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "NY",
            "postal_code": "130399528",
            "country_code": "US",
            "telephone_number": "315-288-4006",
            "fax_number": "315-288-4760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3648 Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146163026",
            "country_code": "US",
            "telephone_number": "585-736-3503",
            "fax_number": "585-581-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERG",
        "first_name": "GLENN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2025-09-12",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Miller Gattuso, NPP
• Joseph C Gazzini, PHD LCSW BCD
• Alise H Gemmell, LMSW
• Jamie L Ghany, PHD
• Roshan Ghimire, MD
• Lauren Krisak Gilkey, RPA-C
• Mackenzie R Gillett
• Giordano Family Dentistry
• Michael A Giordano, DC
• Britta Glasoe, LMSW

• Medical Physician Assistant in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.