Edward A. Gluck, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

124359 Issued in NY

Practice address

11203 Queens Blvd
Forest Hills, NY 11375-5550

Phone

(718) 263-3737

Fax

(718) 263-1156

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Edward a. Gluck MD PC

  • Ophthalmology Physician
  • Forest Hills, NY
  • NPI 1407129091
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1770661464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-263-3737",
            "fax_number": "718-263-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-263-3737",
            "fax_number": "718-263-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Harry Lighter Glickman, PSY.D.
• Bernie Michael Glintz, LCSW
• Jacquelyn Michelle Glintz, LMSW
• Anne Virginia Gloeggler
• Barry Stephen Gloger, M. D.
• Iuliia Glushchenko
• Christine L Go, FNP-BC
• Hae Lim Go
• Karolyn Ann Go, RPT
• Diane M Gocs, MD

• Ophthalmology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.