Active NPI
Raizy Gluck
- Case Manager/Care Coordinator
- Brooklyn, NY
National Provider Identifier
1790391589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- C23153247
- Practice address
- 89 Bartlett St
Brooklyn, NY 11206-4463 - Phone
- (718) 828-2666
- Fax
- (718) 782-1538
- NPI assigned
- Sep 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | C23153247 | NY | Primary |
Addresses
Primary practice location
89 Bartlett St
Brooklyn, NY 11206-4463
Mailing address
89 Bartlett St
Brooklyn, NY 11206-4463
Phone (718) 828-2666
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C23153247 | NY | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1790391589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 BARTLETT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064463",
"telephone_number": "718-828-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 BARTLETT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112064463",
"telephone_number": "718-828-2666",
"fax_number": "718-782-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK",
"first_name": "RAIZY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "C23153247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.