Individual provider Active NPI

Laurence T Glickman, M.D.

  • Specialist
  • Garden City, NY
National Provider Identifier
1144289158
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
168034 Issued in NY
Practice address
999 Franklin Ave
Garden City, NY 11530-2913
Phone
(516) 742-3404
Fax
(516) 294-6942
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 168034 NY Primary

Addresses

Primary practice location

999 Franklin Ave
Garden City, NY 11530-2913

Mailing address

999 Franklin Ave
Garden City, NY 11530-2913
Phone (516) 742-3404

Other identifiers 1

IdentifierTypeStateIssuer
01234633MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051115001154 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Maxillofacial Surgery 7012936362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Jan 24, 2020 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 24, 2020 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Long Island Plastic Surgical Group, PC Specialist CurrentSince Jan 1, 2005 Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

999 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 535-6778

999 Franklin Ave
#3544
Garden City, NY 11530
Phone (516) 742-3404

999 Franklin Ave
Garden City, NY 11530
Phone (516) 742-3404

2200 Northern Blvd
Ste 201
Greenvale, NY 11548

Interoperability endpoints

  • Direct secure messaging: lglickman307943@nyumc.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144289158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302913",
            "telephone_number": "516-742-3404",
            "fax_number": "516-294-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302913",
            "telephone_number": "516-742-3404",
            "fax_number": "516-294-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "LAURENCE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "168034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01234633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.