JERICHO ROAD FAMILY PRACTICE
NPI 1609063833
Family Medicine in Buffalo, NY

Q: What is Myron L Glick MD's NPI number?

The NPI number for Myron L Glick MD is 1609063833. It was assigned to this organization in the NPPES registry on October 2, 2007. The provider is doing business as Jericho Road Family Practice.

Q: What is Myron L Glick MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Myron L Glick MD was last updated on December 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 02, 2007

184 BARTON ST, BUFFALO, NY 14213(716) 881-6191(716) 881-6247 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jericho Road Family Practice NPPES

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

JERICHO ROAD FAMILY PRACTICE (NPI 1609063833) is a healthcare organization registered as a family medicine in Buffalo, New York and active in the NPI registry since October 2007. The organization lists Myron L Glick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609063833

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMYRON L GLICK MD

Location Address184 BARTON STBuffalo, NY 14213-1573

Mailing Address184 Barton StBuffalo, NY 14213-1573 · (716) 881-6191 · Fax (716) 881-6247

Phone(716) 881-6191

Fax(716) 881-6247

Organization SubpartNo

Authorized OfficialMyron L GlickCeo · (716) 881-6191

Enumeration DateOctober 2, 2007

Last NPPES UpdateDecember 7, 2011

✔ NPI 1609063833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

184 BARTON ST, Buffalo, NY 14213

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Other Names 1

Doing Business AsJericho Road Family Practice

Other Identifiers 1

Medicare PINAA0777NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Jrchc Pharmacy @ Barton carries, from the Medicare DMEPOS supplier directory.

Jrchc Pharmacy @ Barton

DMEPOS supplier · Buffalo, NYOperated by Jericho Road Ministries Inc

✔

Accepts Medicare assignment

Jrchc Pharmacy @ Barton agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20403413

Medicare Participant SinceDecember 20, 2021

Supplier Location184 Barton StBuffalo, NY 14213

Phone(716) 427-7650

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Enteral Nutrients

Enteral formula

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

MS. MARY LOU GEORGE LCSW

Social Worker (Clinical)