NPIMap

Individual provider Active NPI

Nicole Glynn, M.D.

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
National Provider Identifier
1235134479
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07698700 Issued in NJ
Practice address
579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone
(732) 390-0040
Fax
(732) 390-1856
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07698700 NJ Primary

Addresses

Primary practice location

579A Cranbury Rd
East Brunswick, NJ 08816-5426

Mailing address

579A Cranbury Rd
East Brunswick, NJ 08816-5426
Phone (732) 390-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819001570 NJ Practitioner - Diagnostic Radiology 9638075138 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (732) 390-0040

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.64
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
University Radiology at Cooper, LLC Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Mar 23, 2009 Accepting new patients

Locations

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

264 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2322

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

400 W Route 38
Ste 2300
Moorestown, NJ 08057

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

2128 State Route 35
Oakhurst, NJ 07755
Phone (732) 493-8444

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

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 10

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1235134479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07698700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.