| Dr Joseph Ezra Glaser, MD | |
|
707 E Main St, Middletown, NY 10940-2650 | |
| (845) 343-0616 | |
| (845) 343-0617 |
| Full Name | Dr Joseph Ezra Glaser |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 20 Years |
| Location | 707 E Main St, Middletown, 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 |
|---|---|---|---|
| 1861772436 | NPI | - | NPPES |
| 03427209 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207U00000X | Nuclear Medicine | 255301 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore University Hospital | Manhasset, NY | Hospital |
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Plainview Hospital | Plainview, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | 5698175933 | 224 |
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | Maimonides Medical Center - Mmc Radiology Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811948284 PECOS PAC ID: 1456241447 Enrollment ID: O20040315001589 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Zwanger & Pesiri Radiology Group LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477523413 PECOS PAC ID: 5092700799 Enrollment ID: O20040420000622 |
| Entity Name | Medical Diagnostic Imaging, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760435291 PECOS PAC ID: 0547242224 Enrollment ID: O20040605000160 |
| Entity Name | Middletown Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902855828 PECOS PAC ID: 2567464308 Enrollment ID: O20070208000144 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Practice Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Ezra Glaser, MD 185 Rykowski Ln, # 101, Middletown, NY 10941-4055 Ph: (845) 692-0030 | Dr Joseph Ezra Glaser, MD 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 343-0616 |