Organization Active NPI

Glenn D. Arvan MD, PC

  • Orthopaedic Surgery Physician
  • Babylon, NY
National Provider Identifier
1952508251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
120185 Issued in NY
Legal business name
GLENN D. ARVAN MD, PC
Practice address
661 Deer Park Ave
Babylon, NY 11702-1314
Phone
(631) 661-0202
Fax
(631) 661-0559
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn Douglas Arvan, M.D.
Title
President
Phone
(631) 661-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 120185 NY Primary

Addresses

Primary practice location

661 Deer Park Ave
Babylon, NY 11702-1314

Mailing address

661 Deer Park Ave
Babylon, NY 11702-1314
Phone (631) 661-0202

National Provider Directory

National Provider Directory

Locations

400 W Main St
Ste 120
Babylon, NY 11702
Phone (631) 661-0202

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952508251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-661-0202",
            "fax_number": "631-661-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021314",
            "telephone_number": "631-661-0202",
            "fax_number": "631-661-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN D. ARVAN MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARVAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-661-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "120185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.