GARY M GLICKMAN M.D. NPI 1740240126

NPI Information

  • NPI: 1740240126
  • Provider Name: GARY M GLICKMAN M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 PARK AVE
    NEW YORK, NY
    ZIP 10016
  • Phone: (212) 532-2500

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NPI Details

Gary M Glickman M.d. is an ophthalmology in New York, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Gary M Glickman M.d. NPI is 1740240126. 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:

30 PARK AVE
NEW YORK, NY
ZIP 10016-801
Phone: (212) 532-2500
Fax: (212) 532-9689

The NPI 1740240126 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of retina (HCPCS:92134)
  • Extended exam of the back part of the eye with optic nerve drawing (HCPCS:92202)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Injection of drug into eye (HCPCS:67028)
  • New patient complete exam of visual system (HCPCS:92004)
  • Exam of visual field with extended testing (HCPCS:92083)

The enumeration date for this NPI number is 3/28/2006 and was last updated on 9/19/2014.

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
1207W00000XOphthalmology165722NEW YORKYes

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
101005201MEDICAIDNEW YORK
202046220MEDICAIDNEW YORK
3W34442MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4A64681MEDICARE UPINNEW YORK
5165722OTHERNEW YORKNY LICENSE
6W34441MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
7180037728MEDICARE PIN
832F341MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
9W34443MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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: 11/21/2025

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