Individual provider Active NPI

Robert Martin Jellinger, M.D.

  • Infectious Disease Physician
  • Brooklyn, NY
National Provider Identifier
1124011234
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
233777 Issued in NY
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

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02590201MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000094 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 7719974732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TBHC Physician Services PCGroup PAC ID 9133265317, 111 clinicians

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

OrganizationSpecialtyStatusNew patients
Albany Medical College Infectious Disease CurrentSince Sep 9, 2004 Accepting new patients
Albany Medical College Current Accepting new patients
TBHC Physician Services PC Infectious Disease CurrentSince Feb 6, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 9, 2004 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.