Organization Active NPI

Dr. Leonard C. Glaser, M.D.P.C.

  • Internal Medicine Physician
  • Southington, CT
National Provider Identifier
1770807281
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. LEONARD C. GLASER, M.D.P.C.
Practice address
360 N Main St
Suite 3
Southington, CT 06489-2503
Phone
(860) 621-8361
Fax
(860) 621-6275
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Leonard Charles Glaser, M.D.
Title
Physician/MD
Phone
(860) 621-8361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

360 N Main St
Suite 3
Southington, CT 06489-2503

Mailing address

360 N Main St
Suite 3
Southington, CT 06489-2503
Phone (860) 621-8361

Other identifiers 1

IdentifierTypeStateIssuer
1220037MedicaidCT

National Provider Directory

National Provider Directory

Locations

360 N Main St
Ste 3
Southington, CT 06489
Phone (860) 621-8361

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1770807281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-8361",
            "fax_number": "860-621-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-8361",
            "fax_number": "860-621-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEONARD C. GLASER, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN/MD",
        "authorized_official_telephone_number": "860-621-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1220037",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.