Harry Glass, DO | NPI 1659323699

Key facts

NPI: 1659323699
Entity type: Individual (NPI type 1)
Primary specialty: Addiction Medicine (Anesthesiology) Physician 207LA0401X
License: 25MB02315400 (NJ)
Practice address: 207 Ocean Rd Ste 510
Ocean City, NJ 08226-4548
Phone: (609) 706-1935
Fax: (609) 710-0501
NPI assigned: May 17, 2006
Sex: Male
Sole proprietor: Yes

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.

Hamilton Healthcare Center, PC Multi-Specialty Clinic/Center · Hamilton, NJ · NPI 1295839868

NPD (past)
Clinical Pain Management Associates, PC Pain Medicine Physician · Fairless Hills, PA · NPI 1265488308

NPD (past)
Delaware Valley Anesthesia Associates, PC Anesthesiology Physician · Fairless Hills, PA · NPI 1861446478

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

State licenses

License	State	Type	Specialty
25MB02315400	NJ	MD	Addiction Medicine (Anesthesiology) Physician
OS-002704L	PA	MD	Pain Medicine (Anesthesiology) Physician

Practice roles

Organization	Status	New patients
Delaware Valley Anesthesia Associates, PC	Past	Accepting new patients
Clinical Pain Management Associates, PC	Past	Accepting new patients
Hamilton Healthcare Center, PC	Past since Oct 26, 2002	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine (Anesthesiology) Physician	207LP2900X	OS-002704L	PA
Addiction Medicine (Anesthesiology) Physician	207LA0401X	25MB02315400	NJ	Yes

Addresses

Primary practice location

207 Ocean Rd Ste 510
Ocean City, NJ 08226-4548

Mailing address

207 Ocean Rd
Ocean City, NJ 08226-4548
Phone (609) 706-1935

Other identifiers

Identifier	Type	State	Issuer
0022342000	Other	PA	KEYSTONE HEALTH PLAN EAST
22-1994560	Other	PA	GREAT WEST HEALTHCARE
23-2919275	Other	NJ	HORIZON BLUE CROSS BLUE SHIELD
23-2919275	Other	PA	GREAT WEST HEALTHCARE
33028C	Other	PA	HORIZON MERCY
8194307	Other	PA	CIGNA
1169961	Other	NJ	AETNA
33029C	Other	PA	HORIZON MERCY
50085446	Other	PA	CAPITAL BLUE CROSS
000640054	Medicaid	PA
22-1994560	Other	NJ	HORIZON BLUE CROSS BLUE SHIELD
23-2919275	Other	PA	DEVON
22-1994560	Other	PA	DEVON
22-1994560	Other	PA	PROCURA MANAGEMENT, INC.
22-1994560	Other	NJ	UNITED HEALTHCARE/OXFORD
22-1994560	Other	PA	FIRST MCO
1201409	Other	NJ	AETNA
1659323699	Other	PA	BRAVO HEALTH
22-1994560	Other	PA	HEALTH AMERICA/HEALTH ASSURANCE
23-2919275	Other	PA	FIRST MCO
23-2919275	Other	PA	PROCURA MANAGEMENT, INC
23-2919275	Other	NJ	FIRST MCO
2551644	Other	PA	AETNA
136736	Other	PA	PA BLUE SHIELD
22-1994560	Other	PA	QUALCARE
22-1994560	Other	PA	UNITED HEALTHCARE/OXFORD
136736	Other	PA	PERSONAL CHOICE
1659993	Other	PA	CIGNA
2189116	Other	PA	AETNA
22-1994560	Other	NJ	FIRST MCO
23-2919275	Other	PA	UNITED HEALTHCARE/OXFORD
23-2919275	Other	PA	HEALTH AMERICA/HEALTH ASSURANCE
23-2919275	Other	PA	QUALCARE
0022342000	Other	PA	AMERIHEALTH
23-2919275	Other	NJ	UNITED HEALTHCARE/OXFORD
5738424	Other	PA	FIRST HEALTH NETWORK
P00084114	Other	PA	RAILROAD MEDICARE

Other providers in Ocean City, NJ

All providers in Ocean City, NJ · Addiction Medicine (Anesthesiology) Physician in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.