Active NPI
Joseph Ezra Glaser, MD
- Nuclear Medicine Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 255301
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03427209 | Medicaid | NY |
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
Enrollment records 1
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
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
- North Shore University Hospital
- Long Island Jewish Medical Center
- Peconic Bay Medical Center
- John T Mather Memorial Hospital of Port Jefferson
- Plainview Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Nuclear Medicine | Current | Accepting new patients |
| Middletown Medical PC | Current | Accepting new patients | |
| Zwanger & Pesiri Radiology Group, LLP | Current | Accepting new patients | |
| Medical Diagnostic Imaging PLLC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Radiology FPP | Current | Accepting new patients | |
| Middletown Medical PC | Current | Accepting new patients | |
| North Country Drug Inc. | Past | 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
- 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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Nuclear Medicine
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1811948284
-
- Radiology Clinic/Center
- Poughkeepsie, NY
- NPI 1760435291
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Radiology Clinic/Center
- Kingston, NY
- NPI 1912949314
-
dba North Country Pharmacy
- Community/Retail Pharmacy
- Franklin, NJ
- NPI 1669532016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Peconic Bay Medical Center
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.