MARK JONATHAN GLASGOLD M.D. NPI 1487729034

NPI Information

  • NPI: 1487729034
  • Provider Name: MARK JONATHAN GLASGOLD, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31 RIVER RD
    HIGHLAND PARK, NJ
    ZIP 08904
  • Phone: (732) 846-6540

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NPI Details

Mark Jonathan Glasgold, M.D. is a plastic and reconstructive surgery surgery in Highland Park, NJ. The provider is a surgeon who specializes in plastic and reconstructive surgery. Mark Jonathan Glasgold, M.D. NPI is 1487729034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 RIVER RD
HIGHLAND PARK, NJ
ZIP 08904-731
Phone: (732) 846-6540
Fax: (732) 846-8231

The NPI 1487729034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery25A053904NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G09033MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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