| Dr Glenn Rory Faust, MD | |
|
2201 Hempstead Tpke, East Meadow, NY 11554-1859 | |
| (516) 572-6705 | |
| (516) 572-5140 |
| Full Name | Dr Glenn Rory Faust |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 39 Years |
| Location | 2201 Hempstead Tpke, East Meadow, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986456 | NPI | - | NPPES |
| 01363560 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 180968 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pelham Pkwy Medical Of New York Llc | 4082976386 | 18 |
| Fordham Medical Of New York Llc | 4284972621 | 18 |
| Bushwick Medical Of New York Llc | 5092068262 | 21 |
| Foxhurst Medical Of New York Llc | 6901151778 | 17 |
| Starrett City Medical Of New York Llc | 7113288564 | 2 |
| St Nicholas Professional Medical Services Of New York Llc | 7618231457 | 6 |
| Entity Name | Nassau Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
| Entity Name | Staten Island Medical Of New York, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669888277 PECOS PAC ID: 4486973690 Enrollment ID: O20150508001480 |
| Entity Name | St Nicholas Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316471352 PECOS PAC ID: 1557628047 Enrollment ID: O20171208002582 |
| Entity Name | Starrett City Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043752785 PECOS PAC ID: 7113288564 Enrollment ID: O20180227000669 |
| Entity Name | Pelham Pkwy Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285156067 PECOS PAC ID: 4082976386 Enrollment ID: O20180327000712 |
| Entity Name | St Nicholas Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033631064 PECOS PAC ID: 7618231457 Enrollment ID: O20180503001031 |
| Entity Name | Pelham Pkwy Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063926962 PECOS PAC ID: 9335404557 Enrollment ID: O20180517001134 |
| Entity Name | Foxhurst Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730547522 PECOS PAC ID: 6901151778 Enrollment ID: O20180619001805 |
| Entity Name | Bushwick Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720565922 PECOS PAC ID: 5092068262 Enrollment ID: O20181106000485 |
| Entity Name | Bushwick Professional Medical Services Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003393299 PECOS PAC ID: 0648516617 Enrollment ID: O20190111001240 |
| Entity Name | Fordham Medical Of New York Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205332905 PECOS PAC ID: 4284972621 Enrollment ID: O20190211002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Rory Faust, MD 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 572-6705 | Dr Glenn Rory Faust, MD 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 572-6705 |
Dr. Elizabeth Cirincione, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, 8th Floor - Pavillion, East Meadow, NY 11554 Phone: 516-572-6705 Fax: 516-572-5140 | |
Lambros D. George Angus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, 8th Floor - Pavillion, East Meadow, NY 11554 Phone: 516-572-6705 | |
Jose Filiberto Poveda, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6434 Fax: 516-572-5465 | |
Dr. Vishes Mehta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6132 Fax: 516-572-6153 | |
Leonard Octavius Barrett, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, 8th Floor - Pavillion, East Meadow, NY 11554 Phone: 516-572-6705 Fax: 516-572-5140 | |
Richard Joseph Batista Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, 8th Floor - Pavillion, East Meadow, NY 11554 Phone: 516-572-6705 Fax: 516-572-5140 |