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DR. LORETTO GLYNN M.D.
NPI 1235111014
Surgery - Pediatric Surgery in Mineola, NY

Active since November 16, 2005PECOS Enrolled

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2021, May 15, 2020 (2 updates tracked since 2020).

About Dr. Loretto Glynn M.d. NPPES

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

DR. LORETTO GLYNN M.D. (NPI 1235111014) is an individual pediatric surgery provider in Mineola, New York, licensed in Illinois (036-083709) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235111014
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. LORETTO GLYNNCredential: M.D.
Location Address259 1ST STMineola, NY 11501-3957
Mailing Address11115 Parkview Plaza DrFort Wayne, IN 46845-1701
Phone(516) 663-4600
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1235111014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in IL · 036-083709✔ Licensed in OK · 35914
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
259 1ST ST, Mineola, NY 11501
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Loretto Glynn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSY MILLER M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 741-0570
GINA CARUCCI
Physician Assistant (Medical)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. CHRISTIAN GIGANTE MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-8794
CHRISTOPHER PETILLO
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
JOHN ANTHONY DINELLI MD
Student in an Organized Health Care Education/Training Program
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
MANISHA SAKORE MD
Pediatrics (Neonatal-Perinatal Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-3853
DR. LAWRENCE SCHEINBERG M.D.
Anesthesiology
259 1ST ST
MINEOLA, NY 11501
Nassau County (516) 663-0333
DR. KIM ANN RUTHERFORD M.D.
Pediatrics (Pediatric Emergency Medicine)
259 1ST ST
MINEOLA, NY 11501
Nassau County (717) 531-8955

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 Loretto Glynn's NPI number?

The NPI number for Loretto Glynn is 1235111014. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Loretto Glynn located?

Loretto Glynn practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-4600.

What is Loretto Glynn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Loretto Glynn enrolled in Medicare?

Yes. Loretto Glynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loretto Glynn was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.