Craig Steven Glick, MD | |
65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | |
(609) 677-9729 | |
(609) 652-6270 |
Full Name | Craig Steven Glick |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 38 Years |
Location | 65 W Jimmie Leeds Rd, Pomona, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356454540 | NPI | - | NPPES |
5335108 | Medicaid | NJ | |
300081001 | Other | NJ | RAILROAD MEDICARE |
P00758300 | Other | NJ | RAILROAD MEDICARE |
P00847775 | Other | NJ | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | 25MA05779700 (New Jersey) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 25MA05779700 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Medical Imaging | 0345215141 | 98 |
Atlantic Radiologists Professional Association Llc | 3678621620 | 63 |
Ami Atlanticare Llc | 7113073263 | 59 |
Entity Name | Atlantic Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Atlantic Radiologists Professional Association Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20090430000174 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Mailing Address | Practice Location Address |
---|---|
Craig Steven Glick, MD 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 | Craig Steven Glick, MD 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 677-9729 |
Robert S Altin, Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-677-9729 Fax: 609-652-6270 |