DR. JEROME B GLASSMITH (NPI# 1396874343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396874343 |
| Entity Type | Individual |
| Full Name | DR. JEROME B GLASSMITH |
| Credential | DPM |
| Practice Address |
4105 31st Avenue Astoria NY 11103-3462 |
| Practice Telephone | 7182788020 |
| Practice Fax Number | 7182788599 |
| Mailing Telephone | 7182788020 |
| Mailing Fax Number | 7182788599 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2400 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1101493690 | 05 | |
| NY | PENNSYLVANIA BLUE SHIELD | 825983 | 01 |
| NY | BLUE CROSS BLUE SHIELD | P27721 | 01 |
| NY | ELDERPLAN | 177233 | 01 |
| NY | VITRA | 24409 | 01 |
| NY | GHI | 0086040 | 01 |
| NY | ATLANTIS HEALTH | GJ2400 | 01 |
| NY | RR MCR | 4809110772 | 01 |
| NY | PHS | 4C4625 | 01 |
| NY | ANTHEM 6450 | P030002400NY01 | 01 |
| NY | MULTIPLAN | P62577571 | 01 |
| NY | HIP | 36528P | 01 |
| NY | OXFORD | P463339 | 01 |
| NY | HEALTHFIRST | 002400A39 | 01 |
| NY | MAGNAHEALTH | 1870 | 01 |
| NY | HEALTHNET | ACCESS 931365 | 01 |
| Street Address |
4105 31ST AVENUE |
| City | ASTORIA |
| State | NY |
| Zip Code | 11103-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248641 | Heather B Keltai | Counselor | 2585 48th St, Astoria, NY 11103 | 2020-09-03 |
| 1174132641 | Mohammed E Yousef | Physical Therapy Assistant | 37 09 Broadway,astoria., Apt 3a, New York, NY 11103 | 2020-07-30 |
| 1588177448 | Jasna Koltovska | Counselor | 3063 38th St Ste B1, Astoria, NY 11103 | 2017-11-14 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1174986236 | Joyce Lynn Karpinski | Occupational Therapist | 25-95 45th St, Apt I, Astoria, NY 11103 | 2016-04-05 |
| 1306218847 | Leeat Perelmutter | Social Worker | 2847 34 Street, Apt 17, Astoria, NY 11103 | 2015-10-23 |
| 1740658723 | Cori Shahon | Specialist | 2569 49th Street, Astoria, NY 11103 | 2015-09-09 |
| 1245617539 | Alisa Neziraj | Registered Nurse | 3005 42nd Street, Astoria, NY 11103 | 2015-05-06 |
| 1912399189 | Brad Koegel | Case Manager/Care Coordinator | 30-46 35th Street, Astoria, NY 11103 | 2015-02-25 |
| 1477967826 | Wad Kadi | Pharmacist | 32-87 Steinway St, Long Island City, NY 11103 | 2014-06-13 |
| Find all providers in zip 11103 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275826000 | Wayne Axman | Podiatrist | 3016 30th Dr Fl 3, Astoria, NY 11102-1874 | 2011-05-26 |
| 1154571578 | Steinway Foot Care Group, LLP | Podiatrist | 4105 31st Ave, Astoria, NY 11103-3462 | 2008-09-22 |
| 1902071194 | Dr Jerome Glassmith | Podiatrist | 41 05 31st Ave, Astoria, NY 11103-2221 | 2008-04-28 |
| 1942365234 | Nancy Ray | Podiatrist | 2120 Exchange St Ste 110, Astoria, OR 97103-3322 | 2006-12-27 |
| 1437240124 | Mark Owen Ellis | Podiatrist | 582 22nd Street, Astoria, OR 97103 | 2006-09-27 |
| 1578660288 | Philip Joseph Lupo | Podiatrist | 3217 29th St, Astoria, NY 11106-3403 | 2006-09-17 |
| 1477570372 | Gianni Persich | Podiatrist | 2856 41st St, Suite2a, Astoria, NY 11103-3302 | 2006-07-16 |
| 1376540021 | Thomas K Barlis | Podiatrist | 2747 Crescent St, Suite 204, Astoria, NY 11102-3142 | 2005-07-07 |
| 1487123519 | Astoria Podiatry Office PC | Podiatrist | 3141 45th St, Astoria, NY 11103-1621 | 2018-11-19 |
| 1003324179 | Metroplus Podiatry Care PC | Podiatrist | 2519 30th Dr Ste 1l, Astoria, NY 11102-2701 | 2018-01-11 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on DR. JEROME B GLASSMITH.
| 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.