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

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  • 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 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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:

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

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
AA0777MEDICARE 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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609063833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 0 + 6 + 6 + 8 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1609063833.

Other Providers at the Same Location


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

Social Worker (Clinical)
184 BARTON ST
BUFFALO, NY 14213
Midwife
184 BARTON ST
BUFFALO, NY 14213
Family Medicine
184 BARTON ST
BUFFALO, NY 14213
Family Medicine
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Pediatrics)
184 BARTON ST
BUFFALO, NY 14213
Family Medicine
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Family)
184 BARTON ST
BUFFALO, NY 14213
Physician Assistant (Medical)
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Women's Health)
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Family)
184 BARTON ST
BUFFALO, NY 14213
Family Medicine
184 BARTON ST, SUBLEVEL 1
BUFFALO, NY 14213
Dietitian, Registered
184 BARTON ST
BUFFALO, NY 14213
Social Worker (Clinical)
184 BARTON ST
BUFFALO, NY 14213
Pharmacist
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Adult Health)
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Family)
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner
184 BARTON ST
BUFFALO, NY 14213
Nurse Practitioner (Family)
184 BARTON ST
BUFFALO, NY 14213
Pharmacist
184 BARTON ST
BUFFALO, NY 14213
Pharmacist
184 BARTON ST
BUFFALO, NY 14213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609063833, enumerated as an "organization" on October 02, 2007.

The provider is located at 184 BARTON ST BUFFALO, NY 14213 and the phone number is (716) 881-6191.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.