DR. JENNIFER A GLASSMAN M.D.
NPI 1861455032
Family Medicine in New York, NY

Active since April 10, 2006Opted out of Medicare · through Apr 1, 2028
126 5TH AVE FL 2, NEW YORK, NY 10011(904) 923-2472 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Mar 10, 2022, May 5, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Jennifer A Glassman M.d. NPPES

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

DR. JENNIFER A GLASSMAN M.D. (NPI 1861455032) is an individual family medicine provider in New York, New York, licensed in New York (302011) and active in the NPI registry since April 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861455032
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFER A GLASSMANCredential: M.D.
Location Address126 5TH AVE FL 2New York, NY 10011-5631
Mailing Address126 5th Ave Fl 2New York, NY 10011-5631 · (646) 880-4465
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJanuary 9, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1861455032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 302011 Licensed in FL · ME91516
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.
126 5TH AVE FL 2, New York, NY 10011

Other Names 1

Former Name (1)Jennifer Anne Graf

Secondary Practice Locations 2

Location 18550 Santa Monica Blvd Fl 2Los Angeles, CA 90069-4496 · Phone (833) 447-2775 · Fax (323) 307-7140
Location 25575 S Semoran Blvd Ste 36Orlando, FL 32822-1782 · Phone (646) 880-4465

Other Identifiers 1

Medicaid000401200FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jennifer A Glassman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Dietitian, Registered
126 5TH AVE FL 2
NEW YORK, NY 10011
General Practice
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Family Medicine
126 5TH AVE FL 2
NEW YORK, NY 10011
Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011
Physician Assistant (Medical)
126 5TH AVE FL 2
NEW YORK, NY 10011
Nurse Practitioner (Family)
126 5TH AVE FL 2
NEW YORK, NY 10011

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 Jennifer Glassman's NPI number?

The NPI number for Jennifer Glassman is 1861455032. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as Jennifer Anne Graf.

Where is Jennifer Glassman located?

Jennifer Glassman practices at 126 5th Ave Fl 2, New York, NY 10011. The listed phone number is (904) 923-2472.

What is Jennifer Glassman's specialty?

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

Is Jennifer Glassman enrolled in Medicare?

No. Jennifer Glassman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Glassman was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.