Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn W. Jelks, MD

Individual provider Specialist · NPI 1043362957

Dr. Glenn W. Jelks, MD is a Specialist in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

875 Park Ave
New York, NY 10075-0382 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 988-3303
Fax: (212) 988-7984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 134137 (NY)

Record details

NPI number1043362957
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESFebruary 8, 2010

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