Michele Isaacs Gliksman

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

25MA06064200 Issued in NJ

Legal business name

MICHELE ISAACS GLIKSMAN

Practice address

155 N Washington Ave
Bergenfield, NJ 07621-1742

Phone

(201) 384-8310

Fax

(201) 384-1085

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kiona Mack

Title

Administrative Medical Assistant

Phone

(201) 384-8310

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1316207020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211742",
            "telephone_number": "201-384-8310",
            "fax_number": "201-384-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211742",
            "telephone_number": "201-384-8310",
            "fax_number": "201-384-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE ISAACS GLIKSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIONA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "201-384-8310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA06064200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medtalents, Inc.
• Gizela Mehmeti
• Efrat Shelley Meier-Ginsberg, M.D.
• Ronny Meier, M.D.
• Mendores PC
• Yelena Migardos, PA
• Valeska Millan, MSW, LCSW, LCADC
• Millennium Rehab Solutions Inc.
• Shari B. Miller, D.D.S
• Adele Mimnaugh, OTR

• Legal Medicine in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.