GLENN C. ELLENBOGEN
NPI 1285799775
Specialist in New York, NY

NPI Status: Active since December 26, 2006

Contact Information

460 W 34TH ST
11TH FLOOR
NEW YORK, NY
ZIP 10001
Phone: (212) 273-6519

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About GLENN ELLENBOGEN

This page provides the complete NPI Profile along with additional information for Glenn Ellenbogen, a provider established in New York, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1285799775 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1285799775
Provider Name
GLENN C. ELLENBOGEN
Gender
Male
Entity Type
Individual
Location Address
460 W 34TH ST 11TH FLOOR NEW YORK, NY 10001
Location Phone
(212) 273-6519
Mailing Address
630 1ST AVE APT 32P NEW YORK, NY 10016
Is Sole Proprietor?
No
Enumeration Date
12-26-2006
Last Update Date
10-19-2011
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0485ACMEDICARE UPIN (02)NY 

Medicare Participation & PECOS Enrollment Status

Glenn Ellenbogen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for GLENN C. ELLENBOGEN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285799775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216514918714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 9 + 1 + 8 + 7 + 1 + 4 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1285799775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972535466 ELLISSA M ACKERMAN
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1609809540 MELISSA E BENZULY
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1831121243 AYMAN ELSEDIK AHMED-MAHMOUD
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1144245226 RAMON E ACEVEDO
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1427073592 AHMED MAHER ABDEL REHIM
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1851316533 SYDNEY JEANNE BIALEK LCSW
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1083639827 MICHAEL HOWARD BERGEN
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1407871130 KEVIN J BRAUN
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1508881178 JENNIFER CHANG
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1518982123DR. JUNG MI CHANG
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1699789289 GERARD DI DONATO CSW
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1538173315 KEVIN TRAVERS CSW
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1386658086 RICHARD C SULLIVAN PHD
Individual
Psychologist (Clinical Child & Adolescent)460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1568477347YOUNG ADULT INSTITUTE, INC.
Organization
Home Health460 W 34TH ST FL 11
NEW YORK, NY 10001
(212) 273-6100
1659383370 DECHANTAL C MONTANO OTR/L
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1720090293 AILEEN Y TSO
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100
1740292184 STEPHEN JOHN GRIMES LCSW
Individual
Social Worker (Clinical)460 W 34TH ST
NEW YORK, NY 10001
(646) 761-3387
1891708475 LLOYD S. MINSKY M.D.
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6602
1629183967 MEGHAN G. BLASKOWITZ
Individual
Specialist460 W 34TH ST
NEW YORK, NY 10001
(212) 273-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285799775, enumerated in the NPI registry as an "individual" on December 26, 2006

The provider is located at 460 W 34th St 11th Floor New York, Ny 10001 and the phone number is (212) 273-6519

The provider's speciality is Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).

This NPI record was last updated on December 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.