Individual Healthcare Provider
Mark Glicklich, MD
Provider's NPPES record last updated: July 13, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1497738199
- Primary Specialty
- Radiology — Vascular & Interventional Radiology
- Practice Location
- Brewster, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:12 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204X Radiology
Body Imaging
Allopathic & Osteopathic Physicians
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Taxonomy code 2085B0100XRadiology
Neuroradiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Taxonomy code 2085N0700XRadiology
Nuclear Radiology
Allopathic & Osteopathic Physicians
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Taxonomy code 2085N0904XRadiology
Pediatric Radiology
Allopathic & Osteopathic Physicians
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Taxonomy code 2085P0229XRadiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202XRadiology
Diagnostic Ultrasound
Allopathic & Osteopathic Physicians
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Taxonomy code 2085U0001X
Provider-Reported License Information
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
- Radiology (New York)
- 167925
Practice Locations
Practice Location
3839 Danbury Rd
Brewster, New York 10509-5412
Phone: (845) 278-6200
Record Information
- Enumeration Date
- November 28, 2005
- Provider's NPPES Record Last Updated
- July 13, 2026
- NPISignal NPPES Dataset
- August 2026
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