Glen Joseph Santacroce, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

009374-1 Issued in NY

Practice address

115 Main St
Suite 202 2ND Floor
Tuckahoe, NY 10707-2948

Phone

(914) 961-1010

Fax

(914) 961-1011

NPI assigned

Jul 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1821229469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE 202 2ND FLOOR",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "address_2": "SUITE 202 2ND FLOOR",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072948",
            "telephone_number": "914-961-1010",
            "fax_number": "914-961-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTACROCE",
        "first_name": "GLEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "009374-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-ORTHONET",
            "identifier": "0401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "201116700038",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-ORTHONET",
            "identifier": "401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD FREEDOM/LIBERTY NETWORK OPTUM HEALTHCARE SOLUTIONS, INC.",
            "identifier": "P4162451",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP-EMBLEM HEALTH",
            "identifier": "123832P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LOCAL 1199",
            "identifier": "9830612",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03164830",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US FAMILY HEALTH-ORTHONET",
            "identifier": "401995",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "P01164884",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH/GHI HMO",
            "identifier": "000000695401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE- OPTUM HEALTHCARE SOLUTIONS, INC.",
            "identifier": "0000299267411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLEM HEALTH-GHI PPO",
            "identifier": "1729949",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03282455",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FECA/OFFICE OF WORKERS COMPENSATION PROGRAM",
            "identifier": "61630500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "QV7681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Rothman, RPH
• Charlene Neumann Ruggerio, PHARM D
• Jasen Albert Ruiz, SC.D.
• Jenna Marie Sabatini, M.S. CCC-SLP
• Subhash Samant, MD
• Susan Scharf, MSW
• Dana Schlossberg
• Carole Tobey Schraudner
• Kristen Lee Schurek
• Bruce G Seader, DDS

• Occupational Therapist in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.