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

NPI Status: Active since October 02, 2007

Contact Information

184 BARTON ST
BUFFALO, NY
ZIP 14213
Phone: (716) 881-6191
Fax: (716) 881-6247

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Medicare Supplier
Accepts Medicare Approved Payment

About JERICHO ROAD FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Jericho Road Family Practice, a primary care provider established in Buffalo, New York operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1609063833 assigned on October 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Jericho Road Family Practice. The authorized official of this NPI record is Dr. Myron L Glick Md (Ceo)

NPI: 1609063833
Provider Legal Name: MYRON L GLICK MD
Other Organization Name: JERICHO ROAD FAMILY PRACTICE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 184 BARTON ST BUFFALO, NY 14213
Location Phone: (716) 881-6191
Location Fax: (716) 881-6247
Mailing Address: 184 BARTON ST BUFFALO, NY 14213
Mailing Phone: (716) 881-6191
Mailing Fax: (716) 881-6247
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-02-2007
Last Update Date: 12-07-2011
Code Navigator

A primary care provider (PCP) like Jericho Road Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Jericho Road Family Practice is a medicare supplier with PTAN 20403413 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Enteral Nutrients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. MYRON L GLICK MD
Authorized Official Title: CEO
Authorized Official Phone: (716) 881-6191

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
AA0777	MEDICARE PIN (08)	NY

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20403413
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

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

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	0	6	3	8	3	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	0	6	6	8	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 6 + 6 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1609063833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MS. MARY LOU GEORGE LCSW

Social Worker

(Clinical)

184 BARTON ST
BUFFALO, NY
ZIP 14213

About JERICHO ROAD FAMILY PRACTICE

Location Map

Specialty - Primary Taxonomy

Family Medicine

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

DR. MYRON L GLICK MD

Additional Identifiers

Medical Equipment Supplier

Supplies List

Reviews for JERICHO ROAD FAMILY PRACTICE

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is MYRON L GLICK MD's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does MYRON L GLICK MD accept?