Individual provider Active NPI

Joseph Ezra Glaser, MD

  • Nuclear Medicine Physician
  • Middletown, NY
National Provider Identifier
1861772436
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
255301 Issued in NY
Practice address
707 E Main St
Middletown, NY 10940-2650
Phone
(845) 343-0616
Fax
(845) 343-0617
NPI assigned
Aug 26, 2011
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 255301 NY Primary

Addresses

Primary practice location

707 E Main St
Middletown, NY 10940-2650

Mailing address

185 Rykowski LN
# 101
Middletown, NY 10941-4055
Phone (845) 692-0030

Other identifiers 1

IdentifierTypeStateIssuer
03427209MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000011 NY Practitioner - Nuclear Medicine 0345405361 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
New York University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1421 3Rd Ave
New York, NY 10028-1899
Phone (212) 744-5538

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Aug 1, 2022 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Nov 1, 2021 Accepting new patients
North Shore-Lij Medical PC Nuclear Medicine CurrentSince Aug 1, 2022 Accepting new patients
Middletown Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP CurrentSince Aug 1, 2018 Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince May 14, 2017 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP CurrentSince Nov 1, 2021 Accepting new patients
Middletown Medical PC CurrentSince Jul 1, 2012 Accepting new patients
North Country Drug Inc. PastSince Dec 30, 2013 Accepting new patients
River Radiology PLLC Past Accepting new patients

Locations (25 of 32)

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

440 E Main St
Bay Shore, NY 11706
Phone (516) 280-3733

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

620 Main St
Islip, NY 11751
Phone (516) 562-4060

23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693

150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757

150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757

300 Community Dr
Manhasset, NY 11030

126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614

111 Maltese Dr
Middletown, NY 10940

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

7 7th Ave
New York, NY 10011
Phone (646) 973-3400

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

Networks

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

Interoperability endpoints

  • Direct secure messaging: jglaser68546@northwell.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1861772436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 RYKOWSKI LN",
            "address_2": "# 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414055",
            "telephone_number": "845-692-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402650",
            "telephone_number": "845-343-0616",
            "fax_number": "845-343-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "JOSEPH",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NY",
            "license": "255301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03427209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.