Active NPIIndividual providerSole proprietor

Nicole E Gleyzer, DO

Family Medicine in Pawtucket, Rhode Island

NPI Number1679952220
Practice location
111 Brewster St, Fcc-B, Pawtucket, RI 02860-4474
Fax
401-729-3495
Last updated
June 8, 2026

Nicole Elizabeth Gleyzer is a Family Medicine based in Pawtucket, RI. Nicole Elizabeth Gleyzer practices in Pawtucket, RI and has the professional credentials of DO. The NPI Number for Nicole Elizabeth Gleyzer is 1679952220 and holds a License No. DO00919 (RI). The current practice location address for Nicole Elizabeth Gleyzer is 111 Brewster St, Fcc-B, Pawtucket, RI 02860-4474 and can be reached out via phone at 401-729-2206 and via fax at 401-729-3495.

Provider Profile Details

NPI Number
1679952220
Provider Name
Nicole Elizabeth Gleyzer
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
111 Brewster St, Fcc-B, Pawtucket, RI 02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 28, 2015
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Brewster St
Fcc-B
Pawtucket, RI 02860-4474
Zip
02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
111 Brewster St
Fcc-B
Pawtucket, RI 02860-4474
City
Pawtucket
State
RI
Zip
02860-4474
Phone Number
401-729-2206
Fax Number
401-729-3495

License Information

License Number
DO00919
License State
RI
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Pawtucket, RI

View all Family Medicine providers in Pawtucket →

Frequently Asked Questions

What is the NPI number of Nicole E Gleyzer, DO?

The NPI number of Nicole E Gleyzer, DO is 1679952220. It was assigned on May 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Nicole E Gleyzer, DO?

Nicole E Gleyzer, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number DO00919.

Where does Nicole E Gleyzer, DO practice?

The practice location is 111 Brewster St, Fcc-B, Pawtucket, RI 02860-4474. The office can be reached at 401-729-2206 (phone) or 401-729-3495 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679952220 directly on the NPPES registry website.

Browse related providers