KENNETH I GLASSBERG MD NPI 1780738898

NPI Information

NPI: 1780738898
Provider Name: KENNETH I GLASSBERG, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3959 BROADWAY
11TH FLOOR
NEW YORK, NY
ZIP 10032
Phone: (212) 305-9918
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Kenneth I Glassberg, MD is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kenneth I Glassberg, MD NPI is 1780738898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3959 BROADWAY
11TH FLOOR
NEW YORK, NY
ZIP 10032-559
Phone: (212) 305-9918

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		110936	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HEALTHNET	OTHER	NEW YORK	HEALTHNET
2	20631247	OTHER	NEW YORK	BEECHSTREET
3	3S8981	OTHER	NEW YORK	EBCBS
4	0604219	OTHER	NEW YORK	CIGNA
5	4250348	OTHER	NEW YORK	AETNA PPO
6	B12421	MEDICARE UPIN	NEW YORK
7	00198536	MEDICAID	NEW YORK
8	110936	OTHER	NEW YORK	HIP
9	0043642	OTHER	NEW YORK	GHI
10	293241	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
11	69990	OTHER	NEW YORK	UNHC
12	KS573	OTHER	NEW YORK	OXFORD
13	668248	OTHER	NEW YORK	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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