NICOLE GLYNN (M.D.) – Diagnostic Radiology Physician, NPI 1235134479

NICOLE GLYNN (M.D.) is a healthcare provider. based in East brunswick, New Jersey. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA07698700 (NJ). The NPI Number for NICOLE GLYNN (M.D.) is 1235134479

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE GLYNN (M.D.)
NPI
1235134479
Phone
(732) 390-0040
Address
579A CRANBURY RD
Enumeration Date
15 June 2005
Last Update Date
25 November 2014

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
73239000402022
Graduation Year
1998 (28 years ago)
PAC ID
9638075138
Group Practice PAC ID
6608868500
Professional Enrollment ID
I20040819001570
Address ID
NJ088163610EA483XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,259 DIAGNOSTIC RADIOLOGY in NJ

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Provider Addresses for NICOLE GLYNN (M.D.)

  • 579, Cranbury Road, Gillilandtown, East Brunswick Township, Middlesex County, New Jersey, 08816, United States

    EAST BRUNSWICK, NJ 088165426

    Phone: (732) 390-0040

    Fax: (732) 390-1856

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040819001570IDiagnostic RadiologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml31,550182$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml8,33083$0
72148Mri scan of lower spinal canal without contrast834695$0
70450Ct scan head or brain without contrast654581$0
70551Mri scan of brain without contrast346320$0
View full utilization report →

Insurance plans in this area (ZIP 08816)

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Provider's Procedures

NICOLE GLYNN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNJ71010X-ray of chest, 1 view, front16791093
DIAGNOSTIC RADIOLOGYNJ73110X-ray of wrist, minimum of 3 views2323
DIAGNOSTIC RADIOLOGYNJ73630X-ray of foot, minimum of 3 views5552
DIAGNOSTIC RADIOLOGYNJ93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4746

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608868500View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Interventional Radiology, Diagnostic RadiologyNJ
Interventional Radiology, Diagnostic RadiologyNJ
Diagnostic RadiologyPA
-NJ
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Diagnostic RadiologyNJ
Interventional RadiologyMA

Reviews

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Frequently asked questions

Is there an official ID for NICOLE GLYNN (M.D.) in U.S. healthcare records?
The official identifier for NICOLE GLYNN (M.D.) is NPI 1235134479.
Would NICOLE GLYNN (M.D.) appear as active to a payer?
You can treat NICOLE GLYNN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to NICOLE GLYNN (M.D.)?
NICOLE GLYNN (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE GLYNN (M.D.)?
Directory geography for NICOLE GLYNN (M.D.) centers on East Brunswick, New Jersey.
When was this NPI issued?
Enumeration for NICOLE GLYNN (M.D.) is noted as June 15, 2005 where the registry provides it.

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