Glenford Delacy Nixon, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

173410 Issued in NY

Practice address

8 South Rd
Oyster Bay, NY 11771-1906

Phone

(516) 922-1056

NPI assigned

Jan 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ny Priority Medical Care PLLC

  • Family Medicine Physician
  • Bayside, NY
  • NPI 1144506056
  Medicare reassignment NPD
• Glenford Nixon, M.D., P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Middle Island, NY
  • NPI 1508104969
  Authorized official Same address or phone
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912058843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711906",
            "telephone_number": "516-922-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTH RD",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117711906",
            "telephone_number": "516-922-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "GLENFORD",
        "middle_name": "DELACY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "173410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01586341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venecia Morales
• Louis Morbillo, LCSW
• Cooper Morgan, FNP
• Laura J Morizio, PHD, NCSP
• Andrew Q Myers, DDS
• North Shore Acupuncture Services P.C.
• North Shore Dental Arts LLP
• Stephanie O'Neill, M.S. R.D.
• Edward Obedian, MD
• Danielle Kasia Olesen, OTR/L

• Geriatric Medicine (Internal Medicine) Physician in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.