Active NPI
Jonathan Saul Glass, MD
- Dermatology Physician
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 15186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Portsmouth Regional Hospital
- Wentworth-Douglass Hospital
- Alice Peck Day Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 33 |
| Removal of skin lesions | 852 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15186 | NH | MD | Dermatology Physician |
| 0101236793 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Forefront Dermatology - New Hampshire, PLLC | Dermatology | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | 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
- jglass175574@direct.dartmouth-hitchcock.org
- jonathan.glass@forefrontdermatology.emadirect.md
- 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.
-
- Dermatology Physician
- Dover, NH
- NPI 1295422707
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Multi-Specialty Clinic/Center
- Newport, NH
- NPI 1770684672
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
-
- Obstetrics & Gynecology Physician
- Lebanon, NH
- NPI 1093761892
Hospital
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.