JERRY GLIKLICH M.D.
NPI 1023119997
Internal Medicine - Cardiovascular Disease in New York, NY

Active since September 25, 2006Opted out of Medicare · through May 15, 2027
161 FORT WASHINGTON AVE, SUITE 535, NEW YORK, NY 10032(212) 305-5588(212) 342-5584 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Gliklich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY GLIKLICH M.D. (NPI 1023119997) is an individual cardiovascular disease provider in New York, New York, licensed in New York (127301) and active in the NPI registry since September 2006. He has opted out of Medicare through May 15, 2027 and remains eligible to order and refer, is affiliated with New York-presbyterian Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1975).

NPPES Registry Identity

NPI1023119997
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJERRY GLIKLICHCredential: M.D.
Location Address161 FORT WASHINGTON AVE, SUITE 535New York, NY 10032-3729
Mailing Address161 Fort Washington Ave, Suite 535New York, NY 10032-3729 · (212) 305-5588 · Fax (212) 342-5584
Fax(212) 342-5584
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1975
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1023119997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 127301
Definition

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.

161 FORT WASHINGTON AVE, New York, NY 10032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jerry Gliklich M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2013 through May 15, 2027.

Opt-Out Effective DateMay 15, 2013
Opt-Out In Effect ThroughMay 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
161 FORT WASHINGTON AVE, 7TH FLOOR
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE, ROOM 661
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Physician Assistant
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine (Interventional Cardiology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
161 FORT WASHINGTON AVE, HERBERT IRVING PAVILION ROOM # 903
NEW YORK, NY 10032
Internal Medicine (Gastroenterology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Urology
161 FORT WASHINGTON AVE, 11TH FLOOR
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Gliklich's NPI number?

The NPI number for Jerry Gliklich is 1023119997. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Jerry Gliklich located?

Jerry Gliklich practices at 161 Fort Washington Ave Suite 535, New York, NY 10032. The listed phone number is (212) 305-5588.

What is Jerry Gliklich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerry Gliklich enrolled in Medicare?

No. Jerry Gliklich has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Jerry Gliklich affiliated with any hospitals?

According to CMS data, Jerry Gliklich is affiliated with New York-Presbyterian Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Gliklich was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.