JONATHAN NEIL GLICKMAN (NPI# 1023045333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023045333 |
| Entity Type | Individual |
| Full Name | JONATHAN NEIL GLICKMAN |
| Credential | M.D., PHD |
| Practice Address |
320 Needham Street Suite 200 Newton MA 02464 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 6179694100 |
| Practice Fax Number | 6179693393 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
158613 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
158613 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3196046 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410160 | Jonathan Glickman | Massage Therapist | 7344 199th St # Sr, Fresh Meadows, NY 11366-1823 | 2020-09-04 |
| 1033509674 | Jonathan Harry Glickman | Counselor | 2450 S Vine St, Denver, CO 80210-5264 | 2015-02-04 |
| Street Address |
320 NEEDHAM STREET SUITE 200 |
| City | NEWTON |
| State | MA |
| Zip Code | 02464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629037148 | Jeremy Stuart Ditelberg | Pathology | 320 Needham Street, Suite 200, Newton, MA 02464 | 2006-03-22 |
| 1831356757 | Jochen Thorsten Schaefer | Pathology | 320 Needham Street, Suite 200, Newton, MA 02464 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235799016 | Vi Dang | Pharmacist | 1175 Chestnut St Unit 24, Newton Upper Falls, MA 02464 | 2019-06-14 |
| 1861056657 | Freiberg- Dale Associates | In Home Supportive Care | 1254 Chestnut Street, 2nd Floor, Newton, MA 02464 | 2019-04-26 |
| 1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
| 1629507025 | Marilyn Gamber | Nurse Practitioner | 141 Needham St Ste N205, Newton, MA 02464 | 2017-06-08 |
| 1275089880 | Carole Calderon | Social Worker | 28 Richardson Road, Newton Upper Falls, MA 02464 | 2016-09-01 |
| 1952797011 | Christine Maley | Occupational Therapist | 377 Elliot St Ste 110j, Newton Upper Falls, MA 02464 | 2015-04-15 |
| 1851780936 | Katrina Maclean X | Behavioral Analyst | 109 Oak Street Suite G10, Newton, MA 02464 | 2015-01-13 |
| 1447555909 | Sarah Russell | Speech-Language Pathologist | 43 River Ave, Newton Upper Falls, MA 02464 | 2011-01-14 |
| 1639328164 | Sanita D'souza | Audiologist | 23 Mechanic Street, S R Associates, Newton, MA 02464 | 2008-09-09 |
| 1366581845 | Julia Elizabeth French | Chiropractor | 383 Elliot St # F, Newton Upper Falls, MA 02464 | 2007-02-05 |
| Find all providers in zip 02464 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194061457 | Carol J Chirolas | Pathology | 199 Concord St, Newton, MA 02462-1325 | 2012-12-13 |
| 1598712382 | Lalita Gandbhir | Pathology | 215 Hartman Rd, Newton, MA 02459-2814 | 2006-05-28 |
| 1942466768 | Sussex Pathology, LLC | Pathology | 175 High St, Newton, NJ 07860-1004 | 2008-07-31 |
| 1659576197 | Kenan Joel Sauder | Pathology | 2014 Washington St, Newton, MA 02462-1607 | 2007-06-15 |
| 1013057454 | Todd Earl Abbott | Pathology | 2014 Washington St, Newton-wellesley Hospital, Newton, MA 02462-1607 | 2007-02-07 |
| 1396894143 | Rebecca B. Vergara | Pathology | 175 High St, Newton, NJ 07860 | 2007-01-10 |
| 1902910441 | Michael J Misialek | Pathology | 2014 Washington St, Newton, MA 02462-1607 | 2006-08-19 |
| 1164469110 | Nicole A Mihok | Pathology | 2014 Washington Street, Newton-wellesley Hospital, Newton, MA 02462 | 2006-05-31 |
| 1609832989 | Michael Jay Ross | Pathology | 2014 Washington St, Department of Pathology, Newton, MA 02462-1607 | 2006-04-25 |
| 1275595779 | Tarik Kumral | Pathology | 175 High St, Newton, NJ 07860-1004 | 2006-04-03 |
| Find all providers in NEWTON | ||||
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| 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.