Individual Healthcare Provider
Glenn Gilberg, PA
Provider's NPPES record last updated: September 12, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1770603755
- Primary Specialty
- Physician Assistant — Medical
- Practice Location
- Fayetteville, New York
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 10:10 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Medical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AM0700X Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (New York)
- 006260
Practice Locations
Practice Location
6870 E Genesee St
Fayetteville, New York 13066-1031
Phone: (315) 679-4367
Additional Practice Location
3504 W Genesee St
Syracuse, New York 13219-2008
Phone: (315) 401-0754
Fax: (315) 401-0755
Additional Practice Location
7375 Oswego Rd Ste 1
Liverpool, New York 13090-3717
Phone: (315) 291-0064
Fax: (315) 291-0065
Additional Practice Location
37 W Garden St Ste 105
Auburn, New York 13021-2663
Phone: (315) 252-0000
Additional Practice Location
6227 Thompson Rd
Syracuse, New York 13206-1405
Phone: (315) 937-2007
Fax: (315) 937-2008
Additional Practice Location
5001 State Highway 23
Oneonta, New York 13820-4508
Phone: (607) 376-5346
Fax: (607) 376-5347
Additional Practice Location
2549 Vestal Pkwy E Ste 3
Vestal, New York 13850-2084
Phone: (607) 225-0566
Fax: (607) 225-0557
Additional Practice Location
303 Grant Ave
Auburn, New York 13021-1407
Phone: (315) 258-7100
Additional Practice Location
803 Genesee Street Rd
Skaneateles, New York 13152
Phone: (315) 685-9355
Additional Practice Location
8003 Brewerton Rd
Cicero, New York 13039-9528
Phone: (315) 288-4006
Fax: (315) 288-4760
Additional Practice Location
3648 Dewey Ave
Rochester, New York 14616-3026
Phone: (585) 736-3503
Fax: (585) 581-2961
Record Information
- Enumeration Date
- March 31, 2007
- Provider's NPPES Record Last Updated
- September 12, 2025
- Certification Date
- September 15, 2023
- NPISignal NPPES Dataset
- August 2026
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