Active NPI
Robert Martin Jellinger, M.D.
- Infectious Disease Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 233777
- Practice address
- New York Harbor VA Healthcare Center, Brooklyn Campus
800 Poly Place
Brooklyn, NY 11209 - Phone
- (718) 836-6600
- Fax
- (718) 630-3761
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 233777 | NY | Primary |
Addresses
Primary practice location
New York Harbor VA Healthcare Center, Brooklyn Campus
800 Poly Place
Brooklyn, NY 11209
Mailing address
New York Harbor VA Healthcare Center, Brooklyn Campus
800 Poly Place
Brooklyn, NY 11209
Phone (718) 836-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02590201 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Virginia Commonwealth University, School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Infectious Disease | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| TBHC Physician Services PC | Infectious Disease | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Past | Accepting new patients | |
| Mwa, PC | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
1561 Ulster Ave
Lake Katrine, NY 12449
Phone (518) 339-6755
6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- abelmont19405@prd.direct.tbh.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Albany, NY
- NPI 1164456067
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Pediatrics Physician
- Albany, NY
- NPI 1750315636
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
-
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1124011234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEW YORK HARBOR VA HEALTHCARE CENTER, BROOKLYN CAMPUS",
"address_2": "800 POLY PLACE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-836-6600",
"fax_number": "718-630-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW YORK HARBOR VA HEALTHCARE CENTER, BROOKLYN CAMPUS",
"address_2": "800 POLY PLACE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-836-6600",
"fax_number": "718-630-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELLINGER",
"first_name": "ROBERT",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "233777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02590201",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.