1. Home
  2. Directory
  3. New York
  4. Massapequa
  5. Dermatology
  6. NPI Profile

NOAM GLASER, M.D. PC
NPI 1013121656
Dermatology in Massapequa, NY

Active since May 10, 2007CLIA 33D0866867 · Certificate of Compliance
727 N BROADWAY, MASSAPEQUA, NY 11758(516) 799-0210(516) 799-0247 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Noam Glaser, M.d. Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOAM GLASER, M.D. PC (NPI 1013121656) is a healthcare organization registered as a dermatology in Massapequa, New York and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Noam Glaser, President, as its authorized official.

NPPES Registry Identity

NPI1013121656
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOAM GLASER, M.D. PC
Location Address727 N BROADWAYMassapequa, NY 11758-2348
Mailing Address727 N Broadway, Suite C2Massapequa, NY 11758-2348 · (516) 799-0210 · Fax (516) 799-0247
Phone(516) 799-0210
Fax(516) 799-0247
Organization SubpartNo
Authorized OfficialNoam GlaserPresident · (516) 799-0210
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
✔ NPI 1013121656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
727 N BROADWAY, Massapequa, NY 11758
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noam Glaser, M.d. Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Noam Glaser, M.D. PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Noam Glaser, M.D.
Dermatology
NPI 1184700593
727 N BROADWAY
Massapequa, NY 11758
(516) 799-0210
✔ PECOS✔ Accepts MedicareSame address
Wayne Luo, M.D.
Dermatology
NPI 1346267192
911 PARK AVE SUITE 1A
New York, NY 10021
(212) 772-7242
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0866867

Noam Glaser MD PC · Massapequa, NY
Active · expires Apr 4, 2028
CLIA Number33D0866867
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Wayne Luo
Laboratory Phone(516) 799-0210
Laboratory LocationNoam Glaser MD PC727 Broadway Suite C2, Massapequa, NY 11758
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noam Glaser, M.D. PC's NPI number?

The NPI number for Noam Glaser, M.D. PC is 1013121656. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Noam Glaser, M.D. PC located?

Noam Glaser, M.D. PC is located at 727 N Broadway, Massapequa, NY 11758. The listed phone number is (516) 799-0210.

What is Noam Glaser, M.D. PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Noam Glaser, M.D. PC enrolled in Medicare?

Yes. Noam Glaser, M.D. PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Noam Glaser, M.D. PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Noam Glaser, M.D. PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Noam Glaser, M.D. PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0866867) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Noam Glaser, M.D. PC was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.