Jaimie Brooke Glick, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

282751 Issued in NY

Practice address

119 5TH Ave FL 2
New York, NY 10003-1007

Phone

(212) 533-8888

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David a Colbert MD PCGroup PAC ID 1456302199, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jglick@directaddress.net

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.

• David a. Colbert M.D., P.C.

  dba New York Dermatology Group

  • Dermatology Physician
  • New York, NY
  • NPI 1932355732
  Medicare reassignment Care Compare group NPD
• Marmur Dermatology and Cardiology, PLLC

  dba Marmur Medical

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1598043432
  Medicare reassignment NPD
• Intergral Medical Health Wellness PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1033685011
  NPD (past)
• Sadick Aesthetic Surgery and Dermatology

  • Dermatology Physician
  • New York, NY
  • NPI 1699920116
  NPD (past)

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1114288214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031007",
            "telephone_number": "212-533-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031007",
            "telephone_number": "212-533-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JAIMIE",
        "middle_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "282751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextech",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 5th Ave Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100031007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glick Dental Associate PLLC
• Alexander F Glick, M.D.
• Anna Glick, D.D.S.
• Isabel Glick
• Jacqueline N. Glick, LCSW
• Julie Glick, AU.D., F-AAA
• Michael Peter Glick
• Miriam Glick, SPEECH PATHOLOGIST
• Moshe Aaron Glick, DDS
• Peter J Glick, PHD

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.