Troels Glysing-Jensen, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC005575L Issued in PA

Practice address

237 N Aberdeen Ave
Lifecare Podiatry
Wayne, PA 19087-3537

Phone

(610) 293-9383

Fax

(610) 293-0409

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifecare Podiatry, P.C.Group PAC ID 1951290279, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.08 of 100Reported as group

Quality

73.79

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: troels.glysing-jensen.1@12226.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifecare Podiatry, P.C.

  • Podiatrist
  • Wayne, PA
  • NPI 1134175193

  DE

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1063400877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE",
            "address_2": "LIFECARE PODIATRY",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "610-293-9383",
            "fax_number": "610-293-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE",
            "address_2": "LIFECARE PODIATRY",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "610-293-9383",
            "fax_number": "610-293-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYSING-JENSEN",
        "first_name": "TROELS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000169",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005575L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011912040001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035515",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E1-0000169",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SC005575L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Giovanni, CCC-SLP
• Danielle Giroult, OT
• Anna Gjertsen, PSYD., BCB
• Anneliese K. Glasgow, FNP-BC
• Theodore A Glazer, D.C.
• Courtney Gohean
• Rebecca Goldstein, M.A., LPC
• Adriana Gonzalez-Lopez, ED.D., BCBA-D, LBS
• Harold M Gordon, MD
• Jennifer M Gordon

• Podiatrist in Wayne, PA
• Providers in Wayne, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.