Mikhail Gleyzer Osteopathic Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228820 Issued in NY

Legal business name

MIKHAIL GLEYZER OSTEOPATHIC FAMILY MEDICINE, PC

Practice address

6805 Myrtle Ave
Glendale, NY 11385-7267

Phone

(718) 366-2281

Fax

(718) 366-2243

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail Gleyzer, DONPI 1083637508

Title

President

Phone

(718) 366-2281

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail Gleyzer, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • New York, NY
  • NPI 1083637508
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1972619245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352404",
            "telephone_number": "718-366-2281",
            "fax_number": "718-366-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857267",
            "telephone_number": "718-366-2281",
            "fax_number": "718-366-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL GLEYZER OSTEOPATHIC FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "GLEYZER",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-366-2281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "228820",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228820",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "228820",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "228820",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Mercatante, MS, RDN, CDN
• Eleonora Mezheritsky, M.D.
• Michelle Mordukhayeva SLP PC
• Kathleen Micros, OTR/L
• Shweta Miglani, PT
• Adrijana Miksa, D.M.D
• Tiana Dior Miller, WHNP
• Milos Medical PC
• Jovan Milos, M.D.
• Stella K. Milos, M.D.

• Family Medicine Physician in Glendale, NY
• Providers in Glendale, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.