Individual provider Active NPI

Susan Rosenbluth Glasman, DPM

  • Podiatrist
  • Stamford, CT
National Provider Identifier
1811906530
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000573 Issued in CT
Practice address
1351 Washington Blvd
Stamford, CT 06902-2419
Phone
(203) 621-3700
NPI assigned
Aug 5, 2006
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000573 CT Primary

Addresses

Primary practice location

1351 Washington Blvd
Stamford, CT 06902-2419

Mailing address

1351 Washington Blvd
Stamford, CT 06902-2419
Phone (203) 621-3700

Other identifiers 1

IdentifierTypeStateIssuer
004123692MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000404 CT Practitioner - Podiatry 2567471519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians
Optimus Health Care IncGroup PAC ID 9335051580, 79 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 576-3885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000573CTMDProfessional Counselor
573CTMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Care Inc CurrentSince Feb 18, 2019 Accepting new patients
Optimus Health Care Inc CurrentSince Feb 18, 2019 Accepting new patients
Norwalk Community Health Center Inc CurrentSince Apr 1, 2023 Accepting new patients
Stamford Podiatry Group PC Podiatrist Past Accepting new patients
Stamford Podiatry Group PC Podiatrist PastSince Aug 7, 1991 Accepting new patients

Locations

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD
  • Direct secure messaging: sglasman571732@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1811906530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-621-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WASHINGTON BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022419",
            "telephone_number": "203-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASMAN",
        "first_name": "SUSAN",
        "middle_name": "ROSENBLUTH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004123692",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.