Individual provider Active NPI

Jan S Glick, CCC-A

  • Audiologist
  • Boynton Beach, FL
National Provider Identifier
1336189893
Registry record updated Oct 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1405 Issued in FL
Practice address
7410 W Boynton Beach Blvd Ste B4
Boynton Beach, FL 33437-6158
Phone
(561) 731-1818
NPI assigned
Jun 6, 2006
Last updated
Oct 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000072 MI
Audiologist 231H00000X A01525 OH
Audiologist 231H00000X AY1405 FL Primary

Addresses

Primary practice location

7410 W Boynton Beach Blvd Ste B4
Boynton Beach, FL 33437-6158

Mailing address

7410 W Boynton Beach Blvd Ste B4
Boynton Beach, FL 33437-6158
Phone (561) 731-1818

Other identifiers 2

IdentifierTypeStateIssuer
804700455MedicaidMI
904547880MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000673 FL Practitioner - Qualified Audiologist 4789585126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Partners of South Florida IncGroup PAC ID 6103891403, 5 clinicians

Practice addresses (Care Compare)

7593 Boynton Beach Blvd
Suite 100
Boynton Beach, FL 33437-6161
Phone (561) 736-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000072MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Partners of South Florida Inc Audiologist CurrentSince Jun 1, 2021 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 292-0109

6110 Atlantic Ave
Ste A
Delray Beach, FL 33484
Phone (561) 369-7644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792195200000",
    "number": "1336189893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 W BOYNTON BEACH BLVD STE B4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376158",
            "telephone_number": "561-731-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 W BOYNTON BEACH BLVD STE B4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376158",
            "telephone_number": "561-731-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "JAN",
        "middle_name": "S",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000072",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01525",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804700455",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904547880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.