Individual provider Active NPI

Jeremy S Bellinger, NP

  • Family Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1124179197
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334444-1 Issued in NY
Practice address
600 Roe Ave
Elmira, NY 14905-1629
Phone
(607) 737-4194
Fax
(607) 737-4217
NPI assigned
Jan 16, 2007
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334444-1 NY Primary

Addresses

Primary practice location

600 Roe Ave
Elmira, NY 14905-1629

Mailing address

722 W Water St
Elmira, NY 14905-2435
Phone (607) 271-2050

Other identifiers 1

IdentifierTypeStateIssuer
02664780MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000621 NY Practitioner - Nurse Practitioner 3779527924 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Partners Medical Group PLLCGroup PAC ID 5092155937, 35 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

6400 Powers Rd
Orchard Park, NY 14127-4841
Phone (914) 843-9637

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F334444-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Oct 13, 2024 Accepting new patients
Partners Medical Group, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Mobile Physician Services PLLC CurrentSince Nov 19, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Care Connect Medical P.C. CurrentSince Dec 13, 2023 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Nov 19, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Chemung Medical Services PC Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

1503 Military Rd
Kenmore, NY 14217
Phone (716) 447-6506

2090 Albany Post Rd
Montrose, NY 10548

6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1124179197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052435",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-737-4194",
            "fax_number": "607-737-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGER",
        "first_name": "JEREMY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334444-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02664780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.