Individual provider Active NPI

Glenn Eric Mann, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1891987004
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
250778 Issued in NY
Practice address
145 W 67TH St
New York, NY 10023-5923
Phone
(917) 494-4871
NPI assigned
Aug 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 250778 NY Primary
Pediatric Anesthesiology Physician 207LP3000X 250778 NY

Addresses

Primary practice location

145 W 67TH St
New York, NY 10023-5923

Mailing address

145 W 67TH St
New York, NY 10023-5923
Phone (917) 494-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111102000324 NY Practitioner - Anesthesiology 4981877289 Reassigns benefits to 6 organizations
I20240924001293 CT Practitioner - Anesthesiology 4981877289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

100 Woods Rd
Valhalla, NY 10595-1530

40 Old Ridgebury Rd
Danbury, CT 06810-5119
Phone (203) 205-2840

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

619 W 54TH St
New York, NY 10019-3545
Phone (914) 666-8866

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250778NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology Current Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Oct 15, 2011 Accepting new patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Aug 30, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Oct 15, 2011 Accepting new patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Jan 1, 2024 Accepting new patients
New York University Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC Anesthesiology CurrentSince Feb 20, 2026 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Jun 17, 2024 Accepting new patients

Locations

40 Old Ridgebury Rd
Danbury, CT 06810
Phone (203) 205-2840

111 E 210th St
Bronx, NY 10467

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

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

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

619 W 54th St
New York, NY 10019
Phone (212) 231-7778

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

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

Interoperability endpoints

  • Direct secure messaging: gmann508510@nyumc.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1891987004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235923",
            "telephone_number": "917-494-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 67TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235923",
            "telephone_number": "917-494-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "GLENN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "250778",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NY",
            "license": "250778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.