Individual provider Active NPI

Frances L Glicksman, MD

  • Cardiovascular Disease Physician
  • Miami Beach, FL
National Provider Identifier
1386646842
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
157528-01 Issued in NY
Practice address
4302 Alton Rd
Suite 105
Miami Beach, FL 33140-2891
Phone
(305) 674-1887
Fax
(305) 674-1890
NPI assigned
Aug 15, 2005
Reactivated
Sep 19, 2007
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0051210 FL
Cardiovascular Disease Physician 207RC0000X 157528-01 NY Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 105
Miami Beach, FL 33140-2891

Mailing address

5 Chippewa CT
Suffern, NY 10901-4158
Phone (305) 793-7049

Other identifiers 1

IdentifierTypeStateIssuer
057769300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110412000997 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3779767934
I20230913003162 NY Practitioner - Cardiovascular Disease (Cardiology) 3779767934 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0051210FLMDCardiovascular Disease Physician
157528-01NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Health PC CurrentSince Aug 1, 2023 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
Mount Sinai Medical Center Past Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 5

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1386646842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHIPPEWA CT",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014158",
            "telephone_number": "305-793-7049",
            "fax_number": "305-674-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 105",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-674-1887",
            "fax_number": "305-674-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKSMAN",
        "first_name": "FRANCES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "0051210",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "157528-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057769300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.