Medcap Glam

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDCAP GLAM

Practice address

1969A Palmer Ave
Larchmont, NY 10538-2439

Phone

(718) 650-9109

NPI assigned

Nov 29, 2021

Last updated

Mar 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Mingo, PHD

Title

Ceo

Phone

(718) 650-9109

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Tamika Campbell

  • Specialist
  • Larchmont, NY
  • NPI 1730838939
  NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1871250605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969A PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382439",
            "telephone_number": "718-650-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969A PALMER AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382439",
            "telephone_number": "718-650-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCAP GLAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-650-9109",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "1969A Palmer Ave",
            "city": "Larchmont",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105382439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Mazursky-Horowitz
• Margaret Ann McDermott
• Michelle McDonald, PT
• Alison McIntyre, BCBA
• Elizabeth R. McKenna, RN, LCSW-R
• Eric M Mendelsohn, PH.D.
• Meryl Mendelson, M.D.
• Metro CT Surgical PC
• Beth Y Metzendorf, LCSW
• Kirsten Elaine Meyer, MS, RDN

• Prosthetic/Orthotic Supplier in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Prosthetic/Orthotic Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.