Craig Steven Glick, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

25MA05779700 Issued in NJ

Practice address

65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102

Phone

(609) 677-9729

Fax

(609) 652-6270

NPI assigned

Aug 15, 2006

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as group

Quality

98.86

Improvement activities

40

Cost

77.42

Merit-based Incentive Payment System (MIPS)

Final score

87.06 of 100Reported as group

Quality

84.68

Improvement activities

40

Cost

71.47

Merit-based Incentive Payment System (MIPS)

Final score

91.1 of 100Reported as group

Quality

89.53

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ami Atlanticare LLC

  • Radiology Clinic/Center
  • Hammonton, NJ
  • NPI 1275762023
  Medicare reassignment NPD
• Atlantic Medical Imaging

  • Specialist
  • Galloway, NJ
  • NPI 1396771556
  Medicare reassignment NPD
• Atlantic Radiologists Professional Association LLC

  • Diagnostic Radiology Physician
  • Atlantic City, NJ
  • NPI 1841438728
  Medicare reassignment NPD
• Atlantic Radiologist PA

  • Specialist
  • Atlantic City, NJ
  • NPI 1205862463

  Diagnostic Radiology

  NPD (past)
• Coastal Neurosciences PC

  dba Coastal Physicians & Surgeons PC

  • Neurological Surgery Physician
  • Somers Point, NJ
  • NPI 1164578928
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1356454540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W JIMMIE LEEDS RD",
            "address_2": "SUITE 1100",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059406",
            "telephone_number": "609-677-9729",
            "fax_number": "609-652-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS RD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082409102",
            "telephone_number": "609-677-9729",
            "fax_number": "609-652-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "25MA05779700",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA05779700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5335108",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00847775",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00758300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300081001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David R. Gayeski, M.D,
• Allison Giegerich
• Patricia Giegerich, CRNA
• Gioia Cardiac and Endovascular Interventional Specialty LLC
• Marissa Glaze, DNP, CRNA
• Joyce Glick
• Krystal Lynn Goula, APN
• Antonio Grafilo, MD
• Denise Graybill, OTR
• Stephanie Anne Grayson, M.D.

• Body Imaging Physician in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Body Imaging Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.

Verify at the official NPI Registry.