Individual provider Active NPI

Glenn Kalash, D.O

  • Psychiatry Physician
  • Jamaica, NY
National Provider Identifier
1902990906
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
195060 Issued in NY
Practice address
8900 Van Wyck Expy
Jamaica Hospital Medical Center - Dept. of Psychiatry
Jamaica, NY 11418-2897
Phone
(718) 206-7167
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 195060 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expy
Jamaica Hospital Medical Center - Dept. of Psychiatry
Jamaica, NY 11418-2897

Mailing address

8900 Van Wyck Expy
Jamaica Hospital Medical Center - Dept. of Psychiatry
Jamaica, NY 11418-2897

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
I20100922000634 NY Practitioner - Psychiatry 5294851762 Reassigns benefits to 3 organizations
Practice locations: Jamaica, NY; Roslyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

Hospital & facility affiliations

  • Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
Nassau Health Care Corporation CurrentSince Dec 31, 2016 Accepting new patients
Nassau Health Care Corporation CurrentSince Dec 31, 2016 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jan 1, 2016 Accepting new patients
Nassau Health Care Corporation Past Accepting new patients
Nassau Health Care Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902990906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "address_2": "JAMAICA HOSPITAL MEDICAL CENTER - DEPT. OF PSYCHIATRY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "address_2": "JAMAICA HOSPITAL MEDICAL CENTER - DEPT. OF PSYCHIATRY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182897",
            "telephone_number": "718-206-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALASH",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "195060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.