NPIMap

Individual provider Active NPI

Alexandr Josifovich Glozman, MD

  • Psychiatry Physician
  • Glens Falls, NY
National Provider Identifier
1972591089
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
209215 Issued in NY
Practice address
100 Park St
Glens Falls Hospital
Glens Falls, NY 12801-4413
Phone
(518) 926-3210
Fax
(518) 926-3215
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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 209215 NY Primary

Addresses

Primary practice location

100 Park St
Glens Falls Hospital
Glens Falls, NY 12801-4413

Mailing address

100 Park St
Glens Falls Hospital
Glens Falls, NY 12801-4413
Phone (518) 926-3210

Other identifiers 1

IdentifierTypeStateIssuer
P00033419OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000714 NY Practitioner - Psychiatry 8820277163 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saratoga CountyGroup PAC ID 7810983012, 19 clinicians

Practice addresses (Care Compare)

135 S Broadway
Saratoga Springs, NY 12866-4532
Phone 51858490301051

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209215NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph'S Hospital Health Center Psychiatry CurrentSince Feb 16, 2015 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Oct 1, 2018 Accepting new patients
Saratoga Hospital CurrentSince Apr 1, 2016 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Professional Medical Concierge Services, PLLC Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Oct 1, 2018 Accepting new patients
St Josephs Hospital Health Center CurrentSince Feb 16, 2015 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Apr 1, 2016 Accepting new patients
Parsons Child and Family Center Past Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Past Accepting new patients
Jewish Board of Family & Childrens Services Inc Past Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: alexandrglozman@tdh.allscriptsdirect.net
  • Direct secure messaging: aglozman98473@albanymed.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1972591089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-3210",
            "fax_number": "518-926-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-3210",
            "fax_number": "518-926-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOZMAN",
        "first_name": "ALEXANDR",
        "middle_name": "JOSIFOVICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "209215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00033419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.