Jerry Paul Gluckman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C10002836 Issued in DE

Practice address

1403 Foulk Rd Ste 105
Wilmington, DE 19803-4054

Phone

(302) 479-0100

Fax

(302) 479-0177

NPI assigned

Aug 12, 2005

Last updated

Mar 17, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Internal Medicine

Education

Hahnemann University College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Associates, PAGroup PAC ID 7012985641, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
• Saint Francis Home Care Home health agency, Newark, DE, CCN 087022
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• St Francis Hospital Hospital, Wilmington, DE, CCN 080003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.gluckman@118277986320388.direct.elationemr.com
• Direct secure messaging: jerry.gluckman@25253130.chartlogic.direct-ci.com

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.

• Family Practice Associates, PA

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1053426692
  Medicare reassignment Care Compare group NPD
• Bernard F. King, DO, PA

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1497958490
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christiana Care Home Health and Community Services, Inc.

  dba Christiana Care Visiting Nurse Association

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1245277219
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newark, DE
  • NPI 1366473969
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  dba BAYADA Pediatrics

  • Home Health Agency
  • New Castle, DE
  • NPI 1447281043
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  dba BAYADA Pediatrics

  • Home Health Agency
  • Milford, DE
  • NPI 1780810424
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1821029422
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• St. Francis Hospital Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1295738896
  Care Compare affiliation
• Trinity Home Health Services

  dba St. Francis Home Care

  • Home Health Agency
  • Newark, DE
  • NPI 1699774364
  Care Compare affiliation

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629070370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD",
            "address_2": "STE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-479-0100",
            "fax_number": "302-479-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD STE 105",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034054",
            "telephone_number": "302-479-0100",
            "fax_number": "302-479-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198064054",
            "country_code": "US",
            "telephone_number": "302-652-4705",
            "fax_number": "302-652-2917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLUCKMAN",
        "first_name": "JERRY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10002836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle A. Glidden, PSY.D.
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• Globaldoc Network LLC
• Shaniasia Glover
• Caroline Anne Gluck, M.D.
• Adam L. Glushakow, MD
• Sasirekha Gnanasekar
• Warren Go, MD
• Allison Lisa Goeckerman, PT,DPT, NCS
• Annuradha Goel, MD

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.