Active NPIIndividual providerSole proprietor

Dr. Jordan B Glaser, MD PC

Specialist in Staten Island, New York

NPI Number1821084732
Practice location
1408 Richmond Road, Staten Island, NY 10304-2312
Fax
718-979-5650
Last updated
September 7, 2010

Jordan B Glaser is a Specialist based in Staten Island, NY. Jordan B Glaser practices in Staten Island, NY and has the professional credentials of MD PC. The NPI Number for Jordan B Glaser is 1821084732 and holds a License No. 143039 (NY). The current practice location address for Jordan B Glaser is 1408 Richmond Road, Staten Island, NY 10304-2312 and can be reached out via phone at 718-816-3362 and via fax at 718-979-5650.

Provider Profile Details

NPI Number
1821084732
Provider Name
Jordan B Glaser
Credential
MD PC
Provider Entity Type
Individual
Gender
Male
Address
1408 Richmond Road, Staten Island, NY 10304-2312
Phone Number
718-816-3362
Fax Number
718-979-5650
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2005
Last Update Date
September 7, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1408 Richmond Road
Staten Island, NY 10304-2312
Zip
10304-2312
Phone Number
718-816-3362
Fax Number
718-979-5650
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
1408 Richmond Road
Staten Island, NY 10304-2312
City
Staten Island
State
NY
Zip
10304-2312
Phone Number
718-816-3362
Fax Number
718-979-5650

License Information

License Number
143039
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jordan B Glaser, MD PC?

The NPI number of Dr. Jordan B Glaser, MD PC is 1821084732. It was assigned on September 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jordan B Glaser, MD PC?

Dr. Jordan B Glaser, MD PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 143039.

Where does Dr. Jordan B Glaser, MD PC practice?

The practice location is 1408 Richmond Road, Staten Island, NY 10304-2312. The office can be reached at 718-816-3362 (phone) or 718-979-5650 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821084732 directly on the NPPES registry website.

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