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JACOB GLICKMAN
NPI 1164097432
Student in an Organized Health Care Education/Training Program in New York, NY

Active since May 20, 2021
DEPARTMENT OF DERMATOLOGY, 5 E. 98TH ST., NEW YORK, NY 10029(212) 241-9768 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2021, May 20, 2021 (2 updates tracked since 2021).

About Jacob Glickman NPPES

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

JACOB GLICKMAN (NPI 1164097432) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1164097432
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB GLICKMAN
Location AddressDEPARTMENT OF DERMATOLOGY, 5 E. 98TH ST.New York, NY 10029-1002
Mailing Address45 W 67th St Apt 8fNew York, NY 10023-6260 · (201) 452-8617
Phone(212) 241-9768
Sole ProprietorNo
Enumeration DateMay 20, 2021
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1164097432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
DEPARTMENT OF DERMATOLOGY, 5 E. 98TH ST., New York, NY 10029
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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 Jacob Glickman's NPI number?

The NPI number for Jacob Glickman is 1164097432. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Jacob Glickman located?

Jacob Glickman practices at Department Of Dermatology, 5 E. 98th St., New York, NY 10029. The listed phone number is (212) 241-9768.

What is Jacob Glickman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Glickman was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.