Jonathan D Glassman, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

1873911 Issued in NY

Practice address

161 Willis Avenue
Mineola, NY 11501

Phone

(516) 742-0034

Fax

(516) 742-0043

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Forest Hills Orthopedic Group P.C

  • Orthopaedic Surgery Physician
  • Forest Hills, NY
  • NPI 1316044910
  NPD (past)
• Forest Hills Orthopedic Group PC

  • Orthopaedic Surgery Physician
  • Jamaica, NY
  • NPI 1902089071
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851454292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WILLIS AVENUE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-742-0034",
            "fax_number": "516-742-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WILLIS AVENUE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-742-0034",
            "fax_number": "516-742-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "1873911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02414088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Salvatore Giuca, MD
• Glenn Glantz
• Sidney Glanz, MD
• Chana Glasser, MD
• Fred Gary Glasser, MD
• Loretto Glynn, M.D.
• Joshua Golbari
• Julia Erin Goldberg
• Brian Scott Goldman, MS AND BCBA
• Aliza Goldsmith, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.