{"npi":"1124479282","type":"NPI-1","status":"active","name":{"display":"Jordan Glicksman MD","other":[],"first":"JORDAN","last":"GLICKSMAN","credential":"MD"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"MA","license":"270202"}]},"addresses":[{"purpose":"LOCATION","street_1":"104 ENDICOTT ST STE 100","city":"DANVERS","state":"MA","postal_code":"019233623","country_code":"US","phone":"9787456601"},{"purpose":"MAILING","street_1":"104 ENDICOTT ST STE 100","city":"DANVERS","state":"MA","postal_code":"019233623","country_code":"US","phone":"9787456601"}],"license":{"state":"MA","number":"270202"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160801000389","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"PA","pac_id":"4183917982"},{"enrlmt_id":"I20170725000786","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"MA","pac_id":"4183917982"}]},"enumeration_date":"2016-06-29","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}