DR. GLEN WILLIAM MCWILLIAMS (NPI# 1427150705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427150705 |
| Entity Type | Individual |
| Full Name | DR. GLEN WILLIAM MCWILLIAMS |
| Credential | M.D. |
| Practice Address |
130 West Kingsbridge Road Urology 1 C-18 New York NY 10468 |
| Mailing Address |
420 West 42nd Street Suite 22 C New York NY 10036 |
| Practice Telephone | 7185849000 |
| Practice Fax Number | 7187414284 |
| Mailing Telephone | 9179685176 |
| Mailing Fax Number | 6464144122 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 217646 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
130 WEST KINGSBRIDGE ROAD UROLOGY 1 C-18 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275887721 | Dawn Bridges | Occupational Therapist | 130 West Kingsbridge Road, New York, NY 10468 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| 1588025654 | Brm Holdings LLC | Urology | 930 5th Ave Apt 8h, New York, NY 10021-2680 | 2016-03-16 |
| 1720405020 | Boston Medical, P.C. | Urology | 45 W. 34th Street, Suite 901, New York, NY 10016 | 2014-03-25 |
| 1740622646 | Stanley Arthur Ginsberg | Urology | 401 East 80th St, Apt 9k, New York, NY 10075-0298 | 2013-07-22 |
| 1871842997 | Gerald Zelikovsky, M.d., P.C. | Urology | 5 East 84th Street, New York, NY 10002-0407 | 2012-09-05 |
| 1154679876 | Jawad Antoine Feghali | Urology | 215 E 77th St Apt 2e, New York, NY 10075-2101 | 2012-08-28 |
| 1467714576 | Mohit Gupta | Urology | 222 E 41st St Fl 12, New York, NY 10017-6739 | 2012-06-14 |
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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.