DR. ROBERT STUART GLICKMAN DMD
NPI 1104915230
Dentist - Oral and Maxillofacial Surgery in New York City, NY
About Dr. Robert Stuart Glickman Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT STUART GLICKMAN DMD (NPI 1104915230) is an individual oral and maxillofacial surgery provider in New York City, New York, licensed in New York (034185-1) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Robert Stuart Glickman Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Robert Glickman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10010
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1871713438 (New York)
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Robert Glickman's NPI number?
The NPI number for Robert Glickman is 1104915230. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is Robert Glickman located?
Robert Glickman practices at 530 First Ave Suite 9Q Nyu Medical Center, New York City, NY 10016. The listed phone number is (212) 263-7552.
What is Robert Glickman's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Robert Glickman enrolled in Medicare?
Yes. Robert Glickman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Robert Glickman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Glickman reassigns Medicare benefits to New York University (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Glickman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Robert Glickman was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Robert Stuart Glickman, DMD · NPI 1104915230
Oral and Maxillofacial Surgery provider in New York City, New York. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1104915230 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 034185-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 FIRST AVE, SUITE 9Q NYU MEDICAL CENTER, New York City, NY 10016
- **Phone:** (212) 263-7552 · **Fax:** (212) 995-4920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1164555124, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 0072977 (NY); Medicare ID-Type Unspecified D7D671 (NY); Medicare UPIN U29117 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1104915230) · Data from the CMS NPPES public registry.