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GLEN BROOKS M.D.
NPI 1649276445
Anesthesiology in New York, NY

Active since June 27, 2005Opted out of Medicare · through Nov 19, 2027
80 MAIDEN LN, SUITE 703, NEW YORK, NY 10038(917) 261-7370 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen Brooks M.d. NPPES

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

GLEN BROOKS M.D. (NPI 1649276445) is an individual anesthesiology provider in New York, New York, licensed in New York (156876) and active in the NPI registry since June 2005. He has opted out of Medicare through November 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649276445
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameGLEN BROOKSCredential: M.D.
Location Address80 MAIDEN LN, SUITE 703New York, NY 10038-4811
Mailing Address80 Harbor Acres RdSands Point, NY 11050-2627 · (516) 662-1655 · Fax (212) 385-2434
Phone(917) 261-7370
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1649276445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 156876
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
80 MAIDEN LN, New York, NY 10038
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Other Identifiers 4

Medicare UPINA60458NY
Medicaid00835552NY
Medicare ID-Type Unspecified10D301NY · Empire Medicare
Medicare ID-Type Unspecified0421TLNY · Ghi Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Glen Brooks M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 19, 2019 through November 19, 2027.

Opt-Out Effective DateNovember 19, 2019
Opt-Out In Effect ThroughNovember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

TANMAY R KHESE
Occupational Therapist
80 MAIDEN LN
NEW YORK, NY 10038
New York County (888) 806-2497
PARKER PATRICIA PARKER
Registered Nurse
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 683-6700
SARANGEREL DAMDINSUREN
Student in an Organized Health Care Education/Training Program
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 683-6700
TUWAIN PINKY KOLLEH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 683-6700
UWAILA EDIAGBONYA RN
Registered Nurse
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 683-6700
VERONIKA GOLOVA
Registered Nurse
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 366-4765
CHRISTINE PALASKI
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
80 MAIDEN LN, 9TH FLOOR
NEW YORK, NY 10038
New York County (212) 683-6700
MS. ADIATU ALHASSAN
Registered Nurse
80 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 683-6700

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 Glen Brooks's NPI number?

The NPI number for Glen Brooks is 1649276445. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Glen Brooks located?

Glen Brooks practices at 80 Maiden Ln Suite 703, New York, NY 10038. The listed phone number is (917) 261-7370.

What is Glen Brooks's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Glen Brooks enrolled in Medicare?

No. Glen Brooks has opted out of Medicare through November 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Glen Brooks was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.