JEFFREY ALAN GLUCKSTEIN (NPI# 1902255870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902255870 |
| Entity Type | Individual |
| Full Name | JEFFREY ALAN GLUCKSTEIN |
| Credential | M.D. |
| Practice Address |
354 Merrimack St Ste 1 Lawrence MA 01843-1755 |
| Practice Telephone | 9786872321 |
| Practice Fax Number | 9787227287 |
| Mailing Telephone | 9786872321 |
| Mailing Fax Number | 9787227287 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
283446 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE NUMBER | 267436 | 01 |
| MA | LICENSE NUMBER | 283446 | 01 |
| Street Address |
354 MERRIMACK ST STE 1 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987615 | Michael C Connelly | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2005-07-21 |
| 1134729825 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2020-10-30 |
| 1508483231 | Elise Marie Juliano | Nurse Practitioner | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2020-06-29 |
| 1841854551 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-29 |
| 1790248912 | Maddie Lynch | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-14 |
| 1760926653 | Robert Lapierre | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-12-12 |
| 1588013908 | Ethan Dionne | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-06-07 |
| 1255774162 | Hassaan Hasan Bashir | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2013-04-10 |
| 1831333608 | Maosong Qi | Internal Medicine | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2009-04-24 |
| 1720101843 | Lanny Y Xue | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543649 | Robert Allen Beck | Psychiatry & Neurology | 1130 W 4th St Ste 3203, Lawrence, KS 66044-1328 | 2006-01-24 |
| 1285637454 | Paul D Morte | Psychiatry & Neurology | 1112 W 6th St, Ste 218, Lawrence, KS 66044-2249 | 2005-05-23 |
| 1972910123 | Lawrence Physicians LLC | Psychiatry & Neurology | 330 Arkansas St, Suite 200, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1255774162 | Hassaan Hasan Bashir | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2013-04-10 |
| 1093944332 | Jiri Brabec | Psychiatry & Neurology | 354 Merrimack St, Lawrence, MA 01843-1754 | 2009-07-08 |
| 1720101843 | Lanny Y Xue | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2007-04-06 |
| 1881712362 | Lawrence Memorial Hospital | Psychiatry & Neurology | 330 Arkansas St, Suite 220, Lawrence, KS 66044-1335 | 2007-03-26 |
| 1639236508 | Theodore Gavrilescu, Md | Psychiatry & Neurology | 50 Prospect St, 4th Floor, Lawrence, MA 01841-2841 | 2007-01-02 |
| 1013070523 | Andreas P Schoeck | Psychiatry & Neurology | 354 Merrimack St, Lawrence, MA 01843-1754 | 2006-12-18 |
| 1235166943 | John D Clark | Psychiatry & Neurology | 1130 W 4th St Ste 3203, Lawrence, KS 66044-1328 | 2006-06-27 |
| Find all providers in LAWRENCE | ||||
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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.