Active NPI
Dr. Leonard C. Glaser, M.D.P.C.
- Internal Medicine Physician
- Southington, CT
National Provider Identifier
1770807281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1220037 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.