DR. JUSTIN RYAN GLAZER D.D.S.
NPI 1912156241
Dentist - Oral and Maxillofacial Surgery in Massapequa, NY

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment
930 N BROADWAY, MASSAPEQUA, NY 11758(516) 541-2400(516) 308-3812 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Ryan Glazer D.d.s. NPPES

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

DR. JUSTIN RYAN GLAZER D.D.S. (NPI 1912156241) is an individual oral and maxillofacial surgery provider in Massapequa, New York, licensed in New York (053413) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (2006).

NPPES Registry Identity

NPI1912156241
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JUSTIN RYAN GLAZERCredential: D.D.S.
Location Address930 N BROADWAYMassapequa, NY 11758-2394
Mailing Address930 N BroadwayMassapequa, NY 11758-2394 · (516) 541-2400 · Fax (516) 308-3812
Fax(516) 308-3812
Sole ProprietorYes
Medical School CMSOhio State University College Of DentistryGraduated 2006
Enumeration DateSeptember 10, 2008
Last NPPES UpdateApril 24, 2024
NPPES CertifiedApril 24, 2024
NPI 1912156241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 053413
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
930 N BROADWAY, Massapequa, NY 11758

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Ryan Glazer D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325237811
PECOS Enrollment IDI20110114000206
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Legal Medicine
930 N BROADWAY, SUITE 3
MASSAPEQUA, NY 11758
Dentist (Oral and Maxillofacial Surgery)
930 N BROADWAY
MASSAPEQUA, NY 11758
Acupuncturist
930 N BROADWAY
MASSAPEQUA, NY 11758
Dentist (Oral and Maxillofacial Surgery)
930 N BROADWAY
MASSAPEQUA, NY 11758
Dentist (Oral and Maxillofacial Surgery)
930 N BROADWAY
MASSAPEQUA, NY 11758
Internal Medicine
930 N BROADWAY
MASSAPEQUA, NY 11758
Massage Therapist
930 N BROADWAY
MASSAPEQUA, NY 11758
Dentist (Oral and Maxillofacial Surgery)
930 N BROADWAY
MASSAPEQUA, NY 11758

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 Justin Glazer's NPI number?

The NPI number for Justin Glazer is 1912156241. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Justin Glazer located?

Justin Glazer practices at 930 N Broadway, Massapequa, NY 11758. The listed phone number is (516) 541-2400.

What is Justin Glazer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Justin Glazer enrolled in Medicare?

Yes. Justin Glazer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Glazer accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Justin Glazer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Glazer was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.