GLENDALE FAMILY MEDICINE, PC – NPI #1528735453
Clinic/Center

GLENDALE FAMILY MEDICINE, PC is an AHC clinic located in BALDWIN, NY. NPPES has assigned the NPI number 1528735453 to GLENDALE FAMILY MEDICINE, PC on August 27, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENDALE FAMILY MEDICINE, PC below.

NPI Profile for
GLENDALE FAMILY MEDICINE, PC

NPI Number
1528735453
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLENDALE FAMILY MEDICINE, PC
Primary location
2360 GRAND AVE
BALDWIN, NY 11510-3111
Phone: (516) 546-2266 Fax: (516) 546-8098
Mailing address
Same as primary location
Organization Subpart
Yes - GLENDALE FAMILY MEDICINE, PC is subpart of another organization.
Authorized Official
WAYNE SEBASTIANO
OWNER/MEDICAL DIRECTOR
Phone: (516) 554-7188
Updated
Certification Date
Aug 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.