GLENRIDGE MEDICAL ASSOCIATES PC
NPI 1639236854
Internal Medicine in Ridgewood, NY

Active since January 03, 2007
385 SENECA AVE, RIDGEWOOD, NY 11385(718) 821-1222 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Glenridge Medical Associates Pc NPPES

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

GLENRIDGE MEDICAL ASSOCIATES PC (NPI 1639236854) is a healthcare organization registered as an internal medicine in Ridgewood, New York and active in the NPI registry since January 2007. The organization lists Deepak Setia, President, as its authorized official.

NPPES Registry Identity

NPI1639236854
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGLENRIDGE MEDICAL ASSOCIATES PC
Location Address385 SENECA AVERidgewood, NY 11385-1340
Mailing Address385 Seneca AveRidgewood, NY 11385-1340 · (718) 821-1222
Organization SubpartNo
Authorized OfficialDeepak SetiaPresident · (718) 821-1222
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1639236854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 231211✔ Licensed in NY · 132693
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 218001 (NY)
385 SENECA AVE, Ridgewood, NY 11385

Other Identifiers 1

Medicaid02396716NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Glenridge Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Glenridge Medical Associates PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1023035466
385 SENECA AVE
Ridgewood, NY 11385
(718) 821-1222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427325026
385 SENECA AVE 2ND FLOOR
Ridgewood, NY 11385
(718) 821-1222
✔ PECOSSame address
Internal Medicine
NPI 1285640698
385 SENECA AVE
Ridgewood, NY 11385
(718) 821-1222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588774434
374 STOCKHOLM ST
Brooklyn, NY 11237
(718) 486-4221
✔ PECOS0.2 mi
Internal Medicine
NPI 1053388454
374 STOCKHOLM ST
Brooklyn, NY 11237
(718) 963-6551
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1558317537
218 BIRCHWOOD PARK DR
Jericho, NY 11753
(516) 934-0237
✔ PECOS✔ Accepts Medicare22 mi

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

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 Glenridge Medical Associates PC's NPI number?

The NPI number for Glenridge Medical Associates PC is 1639236854. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Glenridge Medical Associates PC located?

Glenridge Medical Associates PC is located at 385 Seneca Ave, Ridgewood, NY 11385. The listed phone number is (718) 821-1222.

What is Glenridge Medical Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glenridge Medical Associates PC enrolled in Medicare?

Yes. Glenridge Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenridge Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Glenridge Medical Associates 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. The largest specialties are Internal Medicine (4) and Nurse Practitioner (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glenridge Medical Associates PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.