Individual provider Active NPI

Harvey Glass, MD

  • Dermatology Physician
  • Cherry Hill, NJ
National Provider Identifier
1548436678
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA02146100 Issued in NJ
Practice address
1880 Route 70 East
Cherry Hill, NJ 08003-2029
Phone
(856) 424-6478
Fax
(856) 424-6479
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA02146100 NJ Primary

Addresses

Primary practice location

1880 Route 70 East
Cherry Hill, NJ 08003-2029

Mailing address

1880 Route 70 East
Cherry Hill, NJ 08003-2029
Phone (856) 424-6478

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160314002188 NJ Order and Referring Only - DermatologyPractitioner - Dermatology 6002112257

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1548436678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ROUTE 70 EAST",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032029",
            "telephone_number": "856-424-6478",
            "fax_number": "856-424-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ROUTE 70 EAST",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032029",
            "telephone_number": "856-424-6478",
            "fax_number": "856-424-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA02146100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.