Gary M Glass, MD

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

MA032178 Issued in NJ

Practice address

3137 Fire Road
Suite a
Egg Harbor Township, NJ 08234

Phone

(609) 646-3272

Fax

(609) 646-3129

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 19, 2020 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831241371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 FIRE ROAD",
            "address_2": "SUITE A",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-646-3272",
            "fax_number": "609-646-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 FIRE ROAD",
            "address_2": "SUITE A",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-646-3272",
            "fax_number": "609-646-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NJ",
            "license": "MA032178",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PA",
            "license": "MD018944E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Gentile, SLP
• Shirley George-Cook, CNM
• Jennifer Gerhardt
• Sassine Ghanem, M.D.
• Maureen Gibson, RBT
• Sandra L Glass, RN
• Glorious Home Care & Nursing Services, LLC
• Jo-Anne Rzepka Goldberg, LCSW
• Golden Care Seniors LLC
• Ashley Golden, PA-C

• Forensic Psychiatry Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Forensic Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.