Active NPI
Joan C. Gluck, MD
- Specialist
- Miami, FL
National Provider Identifier
1831152529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0020681
- Practice address
- 9035 Sunset Dr
Suite 202
Miami, FL 33173-3441 - Phone
- (305) 279-3366
- Fax
- (305) 271-3355
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0020681 | FL | Primary |
Addresses
Primary practice location
9035 Sunset Dr
Suite 202
Miami, FL 33173-3441
Mailing address
11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045432000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0020681 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates of South Florida PA | Past | Accepting new patients | |
| Allergy & Asthma Associates of South Florida PA | Past | Accepting new patients |
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.
-
- Allergy & Immunology Physician
- Miami, FL
- NPI 1093779696
-
- Allergy & Immunology Physician
- Pembroke Pines, FL
- NPI 1912164211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1831152529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 SW 40TH ST",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753584",
"telephone_number": "305-223-8808",
"fax_number": "305-223-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 SUNSET DR",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733441",
"telephone_number": "305-279-3366",
"fax_number": "305-271-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK",
"first_name": "JOAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0020681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045432000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.