Active NPI
Milan Glumicic
- Internal Medicine Physician
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 289049
- Practice address
- 3515 78TH St
Jackson Heights, NY 11372-4740 - Phone
- (718) 478-3523
- NPI assigned
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0289049 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 289049 | NY | Primary |
Addresses
Primary practice location
3515 78TH St
Jackson Heights, NY 11372-4740
Mailing address
3515 78TH St
Jackson Heights, NY 11372-4740
Phone (718) 478-3523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0289049 | NY | MD | Internal Medicine Physician |
| 289049 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Great Lakes Physician Practice PC | Internal Medicine | Current | Accepting new patients |
| Yellowhawk Tribal Health Center | Current | Accepting new patients | |
| Jamestown Area Medical Associates, L.L.P. | Internal Medicine | Current | Accepting new patients |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
15 S Main St
Ste 150
Jamestown, NY 14701
Phone (716) 483-6700
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Interoperability endpoints
- mglumicic1@hiemail.healtheconnections.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1750671160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 78TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113724740",
"telephone_number": "718-478-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 78TH ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113724740",
"telephone_number": "718-478-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUMICIC",
"first_name": "MILAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "0289049",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "289049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.