LEE M. GLICKMAN (NPI# 1295702884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295702884 |
| Entity Type | Individual |
| Full Name | LEE M. GLICKMAN |
| Credential | MD |
| Practice Address |
2 Capital Way Ste 385 Pennington NJ 08534-2521 |
| Practice Telephone | 6093034838 |
| Practice Fax Number | 6093034835 |
| Mailing Telephone | 6093034838 |
| Mailing Fax Number | 6093034835 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2018-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA05784200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA057842 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE RAILRAOD | 060067986 | 01 |
| NJ | 5137900 | 05 | |
| NJ | PENNSYLVANIA BLUE SHIELD | 1346962 | 01 |
| NJ | AMERIHEALTH | 0563230000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2480 Pennington Road, Suite 101, Pennington, NJ 085345227 | 6097375911 | 6097375914 |
| Street Address |
2 CAPITAL WAY STE 385 |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530884 | Allison Marie James | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2019-10-23 |
| 1659885978 | Kara Cahill | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2017-11-22 |
| 1073025896 | Furva Raza | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2017-11-02 |
| 1275946840 | Satvik Shah | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2014-06-11 |
| 1720341464 | Lisa Monahan | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534 | 2012-06-18 |
| 1588948624 | Marian D. Gelber | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2011-10-07 |
| 1477879740 | Eric Michael Struble | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2010-04-12 |
| 1013151117 | Neil Saxena | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2009-04-21 |
| 1609015254 | Carolyn Marie Mylowe | Nurse Practitioner | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2009-02-05 |
| 1548472905 | Harit Desai | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2007-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275946840 | Satvik Shah | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2014-06-11 |
| 1720341464 | Lisa Monahan | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534 | 2012-06-18 |
| 1477879740 | Eric Michael Struble | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2010-04-12 |
| 1013151117 | Neil Saxena | Internal Medicine | 2 Capital Way Ste 385, Pennington, NJ 08534-2521 | 2009-04-21 |
| 1265679864 | Capital Health Clinical Cardiology | Internal Medicine | 2480 Pennington Road, Suite 101, Pennington, NJ 08534 | 2009-01-20 |
| 1386896454 | Lee M Glickman, Md, LLC | Internal Medicine | 2480 Pennington Rd, Suite 101, Pennington, NJ 08534-5227 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
| Find all providers with the same taxonomy | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
Please comment or provide details below to improve the information on LEE M. GLICKMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.