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

Jeffrey Glicksman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043674708

Jeffrey Glicksman, MD is an Otolaryngology in Upper Marlboro, Maryland. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland and New York.

Years since qualifying
10
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
MD, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Mercantile Ln
Upper Marlboro, MD 20774-5374
Phone: (301) 618-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence D0090587 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 63718 (NY)

Record details

NPI number1043674708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address1221 Mercantile Ln, Upper Marlboro, MD 20774-5374

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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