DR. WILLIAM RICHARD GLENDON JR. (NPI# 1942307509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942307509 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM RICHARD GLENDON JR. |
| Credential | M.D. |
| Practice Address |
519 W 114th St John Jay Hall, 4th Floor New York NY 10027-7036 |
| Mailing Address |
890 W End Ave Apt 15d New York NY 10025-3526 |
| Practice Telephone | 2128542284 |
| Mailing Telephone | 2128653891 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 130393 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
519 W 114TH ST JOHN JAY HALL, 4TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10027-7036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862207 | Elizabeth Bernadette Shelley | Registered Nurse | 519 W 114th St, John Jay Mc 3601, New York, NY 10027-7036 | 2012-09-04 |
| 1922396316 | Kathleen Marie Chiu | Nurse Practitioner | 519 W 114th St, Mc3601, New York, NY 10027 | 2011-07-19 |
| 1336456631 | Babie Mar Teleron Regner | Registered Nurse | 519 W 114th St, 3rd Floor John Jay Bldg., New York, NY 10027-7036 | 2010-09-08 |
| 1871809962 | Serena M Baker | Registered Nurse | 519 W 114th St, John Jay Hall, 4th Floor, New York, NY 10027-7036 | 2010-08-26 |
| 1336304237 | Jennifer Lowing | Registered Nurse | 519 W 114th St, John Jay Hall/mc 3601, New York, NY 10027-7036 | 2008-07-21 |
| 1104085679 | Grigoriy Grenader | Family Medicine | 519 W 114th St, John Jay Hall, 3rd Floor, New York, NY 10027-7036 | 2008-06-09 |
| 1174704092 | Christine Contillo | Registered Nurse | 519 W 114th St, Amsterdam Practice Group, New York, NY 10027-7036 | 2007-11-20 |
| 1376758748 | Colleen S Eng | Family Medicine | 519 W 114th St, Columbia Health, John Jay Hall, Mail Code 3601, New York, NY 10027-7036 | 2007-05-11 |
| 1467575498 | Ilene Katz | Registered Nurse | 519 W 114th St, Mc 3601, New York, NY 10027-7036 | 2007-04-06 |
| 1912029794 | Health Services At Columbia | Clinic/Center | 519 W 114th St, Mc 3601, New York, NY 10027-7036 | 2007-04-04 |
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|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1720691199 | Mohamad El Zein | Student in an Organized Health Care Education/Training Program | 281 West 132nd Street, App Nb 2, New York, NY 10027 | 2020-08-26 |
| 1194335893 | Cynthia Wiggins | Social Worker | 1255 Amsterdam Avenue, New York, NY 10027 | 2020-08-06 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1588214357 | Advanced Dermatology of New York PC | Dermatology | 1-3 West 125th Street, New York, NY 10027 | 2019-09-13 |
| 1396216818 | Gissel Lopez | Licensed Practical Nurse | 119west 124th Street, New York, NY 10027 | 2018-12-10 |
| 1831660620 | Katherine Gonzalez | Licensed Practical Nurse | 119 121 W 124th Street, New York, NY 10027 | 2018-12-06 |
| 1003383456 | Ebony S Prescott | Specialist | 2130 Adam Clayton Powell Blvd, Phenix Salon Suites, Suite #114, Ny, NY 10027 | 2018-10-24 |
| 1619456589 | Arts of Optics Corp. | Optometrist | 200 W 125th St, New York, NY 10027 | 2018-08-10 |
| 1205355658 | Frederick Community Pharmacy Inc | Pharmacy | 2450 Frederick Douglas Blvd, New York, NY 10027 | 2017-09-18 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
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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.