Individual provider Active NPI

Jonathan L Fellus, M.D.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1053309195
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
313031 Issued in NY
Practice address
145 E 32ND St FL 12
New York, NY 10016-6055
Phone
(917) 694-4426
Fax
(212) 931-4877
NPI assigned
Oct 12, 2005
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 313031 NY Primary

Addresses

Primary practice location

145 E 32ND St FL 12
New York, NY 10016-6055

Mailing address

145 E 32ND St FL 12
New York, NY 10016-6055
Phone (973) 787-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Winston Dr
Suite 617
Cliffside Park, NJ 07010-3214

240 Central Ave
East Orange, NJ 07018-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06616400NJMDNeurology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1053309195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166055",
            "telephone_number": "973-787-7402",
            "fax_number": "212-931-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 32ND ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166055",
            "telephone_number": "917-694-4426",
            "fax_number": "212-931-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLUS",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "313031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.