Active NPI
Robert Glatter, MD
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 217147
- Practice address
- 100 E 77TH St
New York, NY 10021-1850 - Phone
- (212) 434-2650
- Fax
- (212) 434-4512
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 217147 | NY | Primary |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10021-1850
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (212) 434-2650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02338067 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217147 | NY | MD | Emergency Medicine Physician |
| 150717 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Past | Accepting new patients |
| Park Lenox Emergency Medicine, PC | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Emergency Physicians Group PSC | Emergency Medicine | Past | Accepting new patients |
| Ohio Em-I Medical Services, Professional Association | Past | Accepting new patients | |
| LH Emergency Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Ambulatory Care Physicians at CDH, PC | Emergency Medicine | Past | Accepting new patients |
Locations
404 Potter Blvd
Brightwaters, NY 11718
Phone (631) 376-0055
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
2035 Lakeville Rd
North New Hyde Pk, NY 11040
Phone (516) 328-9797
300 Community Dr
Plandome, NY 11030
240 Meeting House Ln
#24
Southampton, NY 11968
Phone (631) 726-8476
240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rglatter65155@northwell.direct-ci.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Emergency Medicine Physician
- New York, NY
- NPI 1154379808
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
- Emergency Medicine Physician
- New York, NY
- NPI 1467605048
-
- Emergency Medicine Physician
- Northampton, MA
- NPI 1972553808
-
- Emergency Medicine Physician
- Owensboro, KY
- NPI 1184639742
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Physician Assistant
- Willoughby, OH
- NPI 1033429808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1912965633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MARCUS AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "212-434-2650",
"fax_number": "212-434-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211850",
"telephone_number": "212-434-2650",
"fax_number": "212-434-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLATTER",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "217147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02338067",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.