Active NPI
Lee M Glickman, MD, LLC
- Cardiovascular Disease Physician
- Pennington, NJ
National Provider Identifier
1386896454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA05784200
- Legal business name
- LEE M GLICKMAN, MD, LLC
- Practice address
- 2480 Pennington Rd
Suite 101
Pennington, NJ 08534-5227 - Phone
- (609) 737-5911
- Fax
- (609) 737-5914
- NPI assigned
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee M Glickman, MD
- Title
- Lee M. Glickman, MD
- Phone
- (609) 737-5911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA05784200 | NJ | Primary |
Addresses
Primary practice location
2480 Pennington Rd
Suite 101
Pennington, NJ 08534-5227
Mailing address
PO Box 8500-7761
Philadelphia, PA 19178-0001
Phone (609) 737-5911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Pennington, NJ
- NPI 1013151117
-
- Adult Health Nurse Practitioner
- Newtown, PA
- NPI 1669449195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1386896454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500-7761",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "609-737-5911",
"fax_number": "609-737-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 PENNINGTON RD",
"address_2": "SUITE 101",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085345227",
"telephone_number": "609-737-5911",
"fax_number": "609-737-5914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE M GLICKMAN, MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-21",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "GLICKMAN",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "LEE M. GLICKMAN, MD",
"authorized_official_telephone_number": "609-737-5911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA05784200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.