Individual provider Active NPI

Matthew Franklin Gliksman, MD

  • Otolaryngology Physician
  • Wayne, NJ
National Provider Identifier
1831727684
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA12560000 Issued in NJ
Practice address
1211 Hamburg Tpke Ste 205
Wayne, NJ 07470-5056
Phone
(973) 633-0808
Fax
(973) 633-8811
NPI assigned
Mar 28, 2020
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA12560000 NJ Primary

Addresses

Primary practice location

1211 Hamburg Tpke Ste 205
Wayne, NJ 07470-5056

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825004256 NJ Practitioner - Otolaryngology 7911407754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1211 Hamburg Tpke
Suite 205
Wayne, NJ 07470-5056
Phone (973) 633-0808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Sep 1, 2025 Accepting new patients

Locations

1211 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (973) 633-0808

660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

Interoperability endpoints

  • Direct secure messaging: mgliksman565154@direct.ahsys.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: matthew.gliksman@direct.entandallergy.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1831727684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HAMBURG TPKE STE 205",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705056",
            "telephone_number": "973-633-0808",
            "fax_number": "973-633-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIKSMAN",
        "first_name": "MATTHEW",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA12560000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.