Individual provider Active NPI

Jonathan Saul Glass, MD

  • Dermatology Physician
  • Portsmouth, NH
National Provider Identifier
1164622981
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15186 Issued in NH
Practice address
330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109
Phone
(603) 431-5205
Fax
(603) 436-4257
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101236793 VA
Dermatology Physician 207N00000X 15186 NH Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice location 1

278 Lafayette Rd BLDG E
Portsmouth, NH 03801-5455
Phone (603) 431-5205

Other practice location 2

1 Hampton Rd Unit 208
Exeter, NH 03833-4849
Phone (603) 431-5205

Other practice location 3

750 Central Ave Ste O
Dover, NH 03820-3434
Phone (603) 431-5205

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Jonathan.Glass@forefrontdermatology.emadirect.md
Direct Messaging Address Jonathan.Glass@forefrontdermatology.emadirect.md
Direct Messaging Address Jonathan.Glass@forefrontdermatology.emadirect.md
Direct Messaging Address Jonathan.Glass@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20150708002484 NH Practitioner - Dermatology 3971741976 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Forefront Dermatology - New Hampshire, PLLCGroup PAC ID 8729449152, 10 clinicians

Practice addresses (Care Compare)

18 Old Etna Rd
Lebanon, NH 03766-1937
Phone (603) 650-4000

330 Borthwick Ave
Suite 303
Portsmouth, NH 03801-7109
Phone (603) 431-5205

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Alice Peck Day Memorial Hospital Hospital, Lebanon, NH, CCN 301305

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions852
Removal or shaving of skin growth1-10
Skin biopsy243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15186NHMDDermatology Physician
0101236793VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic CurrentSince Jul 6, 2015 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 6, 2015 Accepting new patients
Forefront Dermatology - New Hampshire, PLLC Dermatology CurrentSince Sep 30, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 6, 2015 Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

750 Central Ave
Ste O
Dover, NH 03820
Phone (603) 431-5205

1 Hampton Rd
Unit 208
Exeter, NH 03833
Phone (603) 431-5205

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

18 Old Etna Rd
Lebanon, NH 03766
Phone (603) 650-3100

273 County Rd
New London, NH 03257
Phone (603) 526-5215

330 Borthwick Ave
Ste 303
Portsmouth, NH 03801
Phone (603) 431-5205

278 Lafayette Rd
Bldg E
Portsmouth, NH 03801
Phone (603) 430-9644

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: jglass175574@direct.dartmouth-hitchcock.org
  • Direct secure messaging: jonathan.glass@forefrontdermatology.emadirect.md
  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1164622981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017109",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 LAFAYETTE RD BLDG E",
            "address_purpose": "LOCATION",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015455",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hampton Rd Unit 208",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334849",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 CENTRAL AVE STE O",
            "address_purpose": "LOCATION",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "country_code": "US",
            "telephone_number": "603-431-5205",
            "fax_number": "603-436-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JONATHAN",
        "middle_name": "SAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101236793",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "15186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Glass@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 LAFAYETTE RD BLDG E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038015455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Glass@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "330 BORTHWICK AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038017109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Glass@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1 Hampton Rd Unit 208",
            "city": "Exeter",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038334849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonathan.Glass@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "750 CENTRAL AVE STE O",
            "city": "DOVER",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038203434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.