Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glen Loria, MD

Individual provider Internal Medicine Physician · NPI 1730293671

Glen Loria, MD is an Internal Medicine in South Ozone Park, New York. Qualified in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
51
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

119-05 Rockaway Blvd
South Ozone Park, NY 11420-2421
Phone: (718) 843-3003
Fax: (718) 843-3504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 153712 (NY)

Record details

NPI number1730293671
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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