Individual provider Active NPI

Arthur Glick, APRN

  • Adult Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1477580165
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9240690 Issued in FL
Practice address
2010 NW 150TH Ave
Ste 120
Pembroke Pines, FL 33028-2888
Phone
(954) 431-9838
Fax
(954) 241-6726
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303765 NY
Adult Health Nurse Practitioner 363LA2200X APRN9240690 FL Primary

Addresses

Primary practice location

2010 NW 150TH Ave
Ste 120
Pembroke Pines, FL 33028-2888

Mailing address

2010 NW 150TH Ave
Ste 120
Pembroke Pines, FL 33028-2888
Phone (954) 431-9838

Other identifiers 1

IdentifierTypeStateIssuer
02574532MedicaidNY

Other names 1

  • Mr. Arthur Glick Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000871 NY Practitioner - Nurse Practitioner 2062460181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303765NYMDLicensed Practical Nurse
APRN9240690FLMDAdult Health Nurse Practitioner
F303765NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Medical Care Practice PC CurrentSince Jun 1, 2016 Accepting new patients
North Crown Heights Family Outreach Center Inc PastSince Jun 1, 2016 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

763 Nostrand Ave
Ste 765
Brooklyn, NY 11216
Phone (718) 230-8600

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1477580165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE",
            "address_2": "STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 NW 150TH AVE",
            "address_2": "STE 120",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282888",
            "telephone_number": "954-431-9838",
            "fax_number": "954-241-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303765",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9240690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "GLICK",
            "prefix": "MR.",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.