EDWARD H GLENN MD
NPI 1922010776
Radiology - Diagnostic Radiology in Smithtown, NY

Q: What is Edward Glenn's NPI number?

The NPI number for Edward Glenn is 1922010776. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Edward Glenn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Edward Glenn was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 12, 2006

80 MAPLE AVENUE, SMITHTOWN, NY 11787(631) 265-5777(631) 265-5797 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Edward H Glenn Md NPPES

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

EDWARD H GLENN MD (NPI 1922010776) is an individual diagnostic radiology provider in Smithtown, New York, licensed in New York (094600) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922010776

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameEDWARD H GLENNCredential: MD

Location Address80 MAPLE AVENUESmithtown, NY 11787

Mailing Address80 Maple AvenueSmithtown, NY 11787 · (631) 265-5777 · Fax (631) 265-5797

Phone(631) 265-5777

Fax(631) 265-5797

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateAugust 24, 2009

✔ NPI 1922010776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 094600

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

80 MAPLE AVENUE, Smithtown, NY 11787

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Other Identifiers 3

Medicare UPINB79818

Medicaid00657167NY

Medicare ID-Type Unspecified908161NY

Other Providers at the Same Location NPPES 2

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

CHARLES T SITRIN MD

Radiology (Diagnostic Radiology)

80 MAPLE AVENUE
SMITHTOWN, NY 11787

Suffolk County (631) 265-5777

JOHN H LEE DMD PC

Dentist (Orthodontics and Dentofacial Orthopedics)

80 MAPLE AVENUE, SUITE 208
SMITHTOWN, NY 11787

Suffolk County (631) 724-7575

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 Edward Glenn's NPI number?

The NPI number for Edward Glenn is 1922010776. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Edward Glenn located?

Edward Glenn practices at 80 Maple Avenue, Smithtown, NY 11787. The listed phone number is (631) 265-5777.

What is Edward Glenn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Edward Glenn was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.