NPIMap

Organization Active NPI

Gleneida Medical Care PC

  • Specialist
  • Carmel, NY
National Provider Identifier
1861588204
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GLENEIDA MEDICAL CARE PC
Practice address
91 Gleneida Ave
Ste a
Carmel, NY 10512-1222
Phone
(845) 228-7000
Fax
(845) 228-5485
NPI assigned
Oct 5, 2006
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Michael J. Bank, MDNPI 1689614117
Title
Owner
Phone
(845) 228-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

91 Gleneida Ave
Ste a
Carmel, NY 10512-1222

Mailing address

91 Gleneida Ave
Ste a
Carmel, NY 10512-1222
Phone (845) 228-7000

National Provider Directory

National Provider Directory

Locations

155 Route 6
Mahopac, NY 10541
Phone (845) 621-7100

1579 Main St
Pleasant Vly, NY 12569
Phone (845) 635-3700

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1861588204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE",
            "address_2": "STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE",
            "address_2": "STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENEIDA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "BANK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-228-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.