Active NPI
Sybil Pader Cohen Glazer, RD CDN MS MA
- Registered Dietitian
- Great Neck, NY
National Provider Identifier
1770798670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 808119
- Practice address
- 21 Chapel Place
Suite 1a
Great Neck, NY 11021-1413 - Phone
- (516) 829-5703
- Fax
- (516) 829-2474
- NPI assigned
- May 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 000366 | NY | |
| Registered Dietitian | 133V00000X | 808119 | NY | Primary |
Addresses
Primary practice location
21 Chapel Place
Suite 1a
Great Neck, NY 11021-1413
Mailing address
21 Chapel Place
Suite 1a
Great Neck, NY 11021-1413
Phone (516) 829-5703
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000866 | Other | MHC | |
| 000366 | Medicaid | NY | |
| P419902 | Other | NY | OXFORD |
| 8099994 | Other | NY | GHI |
| QN00332 | Other | NY | ASH |
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
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808119 | NY | MD | Registered Dietitian |
| 000366 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770798670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CHAPEL PLACE",
"address_2": "SUITE 1A",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211413",
"telephone_number": "516-829-5703",
"fax_number": "516-829-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CHAPEL PLACE",
"address_2": "SUITE 1A",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211413",
"telephone_number": "516-829-5703",
"fax_number": "516-829-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN GLAZER",
"first_name": "SYBIL",
"middle_name": "PADER",
"name_prefix": "Ms.",
"credential": "RD CDN MS MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "000366",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "808119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHC",
"identifier": "1000866",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000366",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P419902",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8099994",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "QN00332",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.