Active NPI
Robert M. Glickman, M.D.
- Military Hospital
- New York, NY
National Provider Identifier
1831391044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 131254-1
- Practice address
- 423 East 23Rd Street
New York
New York, NY 10010 - Phone
- (212) 951-3394
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Military Hospital | 286500000X | 131254-1 | NY | Primary |
Addresses
Primary practice location
423 East 23Rd Street
New York
New York, NY 10010
Mailing address
150 Columbus Ave
Apt. 9F
New York, NY 10023-5963
Phone (212) 799-4176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110421000090 | NY | Order and Referring Only - Internal Medicine | 4880505593 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131254-1 | NY | MD | Military Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831391044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 COLUMBUS AVE",
"address_2": "APT. 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235963",
"telephone_number": "212-799-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 EAST 23RD STREET",
"address_2": "NEW YORK",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-951-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "NY",
"license": "131254-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.