GLENDALE FAMILY MEDICINE, PC (NPI# 1275978967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275978967 |
| Entity Type | Organization |
| Organization Name | GLENDALE FAMILY MEDICINE, PC |
| Other Organization Name | GLENDALE FAMILY MEDICINE WALK-IN CARE |
| Practice Address |
7801 Myrtle Ave Glendale NY 11385-7439 |
| Practice Telephone | 7183868300 |
| Practice Fax Number | 7183860437 |
| Mailing Telephone | 7183868300 |
| Mailing Fax Number | 7183860437 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | DR. WAYNE ROBERT SEBASTIANO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7183868300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GLENDALE FAMILY MEDICINE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
168147 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Glendale Family Medicine Walk-In Care | Doing Business As Name - Organization |
| Street Address |
7801 MYRTLE AVE |
| City | GLENDALE |
| State | NY |
| Zip Code | 11385-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841238722 | Wayne R Sebastiano | Family Medicine | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2006-06-03 |
| 1780120238 | Hifza R Din | Physician Assistant | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2017-01-09 |
| 1700333440 | Glendale Walk-in Medical Care, PC | Clinic/Center | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2016-09-09 |
| 1528247103 | Lurleen Lorraine Dilig | Physical Therapist | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2007-10-30 |
| 1346444734 | Glendale Family Medicine,pc | Family Medicine | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2007-06-12 |
| 1437278033 | Vivian Blumstein | Speech-Language Pathologist | 7801 Myrtle Ave, Glendale, NY 11385-7439 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645466 | Honorhealth Urgent Care, LLC | Clinic/Center | 6220 W Bell Rd Ste 100c, Glendale, AZ 85308-3896 | 2019-02-19 |
| 1932671559 | Banner Urgent Care Services, LLC | Clinic/Center | 7952 N 43rd Ave, Glendale, AZ 85301-1662 | 2018-12-20 |
| 1952873572 | Banner Urgent Care Services, LLC | Clinic/Center | 6702 W Bethany Home Rd Ste 13-15, Glendale, AZ 85303-4402 | 2018-12-20 |
| 1952887655 | Glendale Medical Clinic LLC | Clinic/Center | 7800 N 55th Ave Ste 106, Glendale, AZ 85301-1322 | 2018-07-16 |
| 1366716557 | Tri-city Express Care Pllc | Clinic/Center | 3730 W Happy Valley Rd, Suite 100, Glendale, AZ 85310-3282 | 2012-03-06 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| 1306915509 | West Valley Urgent Care, L.L.C. | Clinic/Center | 17218 N 72nd Dr, Suite 100, Glendale, AZ 85308-8562 | 2006-11-06 |
| 1043276587 | Glendale Urgent Care LLC | Clinic/Center | 18589 N 59th Ave, Ste. 101, Glendale, AZ 85308-1258 | 2006-04-25 |
| 1144217225 | Rapidcare Urgent Care Centers/so Calif Urgent Care Medical Group | Clinic/Center | 801 S Chevy Chase Dr, #105, Glendale, CA 91205-4431 | 2005-10-04 |
| 1144837766 | Honorhealth-fastmed Ambulatory Holdings LLC | Clinic/Center | 3730 W Happy Valley Rd Ste 100, Glendale, AZ 85310-3283 | 2020-09-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.