Individual provider Active NPI

Brittany Lauren Millman Glickberg, FNP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1801455118
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343160 Issued in NY
Practice address
1999 Marcus Ave Ste 200
New Hyde Park, NY 11042-1021
Phone
(516) 663-4600
Fax
(516) 663-8297
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343160 NY Primary

Addresses

Primary practice location

1999 Marcus Ave Ste 200
New Hyde Park, NY 11042-1021

Mailing address

1999 Marcus Ave Ste 200
New Hyde Park, NY 11042-1021
Phone (516) 663-4600

Other practice location 1

90 Furman St Apt N-1001
Brooklyn, NY 11201-7096
Phone (201) 463-7223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmillman92240@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217000164 NY Practitioner - Nurse Practitioner 5193137032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2020 Accepting new patients
New York University CurrentSince Nov 1, 2020 Accepting new patients

Locations

1999 Marcus Ave
Ste 200
New Hyde Park, NY 11042
Phone (516) 467-8600

550 1st Ave
Ste 7Q
New York, NY 10016
Phone (212) 263-2361

222 E 41st St
Fl 8
New York, NY 10017
Phone (212) 263-7022

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1801455118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-663-4600",
            "fax_number": "516-663-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE STE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421021",
            "telephone_number": "516-663-4600",
            "fax_number": "516-663-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Furman St Apt N-1001",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112017096",
            "country_code": "US",
            "telephone_number": "201-463-7223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLMAN GLICKBERG",
        "first_name": "BRITTANY",
        "middle_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmillman92240@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "222 E 41st St Fl 8",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.