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

Glenn Donovan

Individual provider Podiatrist · NPI 1700950839

Glenn Donovan is a Podiatry in Brooklyn, New York. Graduated from New York College of Podiatric Medicine in 1983, 43 years ago. Practices with Jal 28 LLC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
43
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone: (718) 616-4408
Fax: (718) 616-4105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence N003550 (NY)

Record details

NPI number1700950839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1983 (43 years in practice)
Group practice Jal 28 Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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