Individual provider Active NPI

Irene Gladstein, M.D.

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1891736740
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
229431 Issued in NY
Practice address
2076 E 13TH St
Brooklyn, NY 11229-3304
Phone
(718) 382-7900
Fax
(718) 382-7901
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 229431 NY Primary

Addresses

Primary practice location

2076 E 13TH St
Brooklyn, NY 11229-3304

Mailing address

2076 E 13TH St
Brooklyn, NY 11229-3304
Phone (718) 382-7900

Other identifiers 1

IdentifierTypeStateIssuer
02784307MedicaidNY

Other names 1

  • Dr. Irene Donsoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229431NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eltra LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1891736740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7900",
            "fax_number": "718-382-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "718-382-7900",
            "fax_number": "718-382-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSTEIN",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "229431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02784307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "DONSOFF",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.