JUDYTA GLOVER - NPI 1063987428 - Physician Assistant in Rockville Centre, NY

Q: What is Judyta Glover's NPI number?

The NPI number for Judyta Glover is 1063987428. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Q: What is Judyta Glover's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Judyta Glover was last updated on December 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Judyta Glover NPPES

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

JUDYTA GLOVER (NPI 1063987428) is an individual physician assistant in Rockville Centre, New York and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lindenhurst.

NPPES Registry Identity

NPI1063987428

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJUDYTA GLOVER

Location Address100 MERRICK RD STE 128WRockville Centre, NY 11570-4821

Mailing Address322 Forsythe AveLindenhurst, NY 11757-2204 · (631) 766-0963

Phone(516) 225-9031

Sole ProprietorYes

Enumeration DateOctober 11, 2018

Last NPPES UpdateDecember 3, 20182 updates tracked since enumeration

✔ NPI 1063987428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 MERRICK RD STE 128W, Rockville Centre, NY 11570

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Secondary Practice Location 1

Location 1322 Forsythe AveLindenhurst, NY 11757-2204 · Phone (631) 766-0963

Other Identifiers 1

Medicaid1158649NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judyta Glover is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 6

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

MARAT AVSHALUMOV PH.D

Specialist/Technologist, Other (EEG)