Organization Active NPI

Chaim Gitelis DO PC

  • Internal Medicine Physician
  • Orangeburg, NY
National Provider Identifier
1154763894
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHAIM GITELIS DO PC
Practice address
33 Corporate Dr
Orangeburg, NY 10962-2615
Phone
(718) 534-0689
NPI assigned
Jul 23, 2013
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Chaim Aryeh Gitelis, DONPI 1508086109
Title
President
Phone
(212) 734-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU

Addresses

Primary practice location

33 Corporate Dr
Orangeburg, NY 10962-2615

Mailing address

33 Corporate Dr
Orangeburg, NY 10962-2615
Phone (516) 430-5031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, PA, OH, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20131010000613 NY Part B Supplier - Clinic/Group Practice 6507090396 Receives reassigned benefits from 10 practitioners
Practice locations: Brooklyn, NY; Rockaway Park, NY; Orangeburg, NY
O20230627000010 FL Part B Supplier - Clinic/Group Practice 6507090396 Receives reassigned benefits from 36 practitioners
Practice locations: Miami Beach, FL
O20250326003505 PA Part B Supplier - Clinic/Group Practice 6507090396 Receives reassigned benefits from 7 practitioners
Practice locations: Philadelphia, PA; Pittsburgh, PA
O20250422001434 OH Part B Supplier - Clinic/Group Practice 6507090396 Receives reassigned benefits from 3 practitioners
Practice locations: Akron, OH
O20250805002981 TX Part B Supplier - Clinic/Group Practice 6507090396 Receives reassigned benefits from 10 practitioners
Practice locations: Tomball, TX

National Provider Directory

National Provider Directory

Locations

1716 Coney Island Ave
Brooklyn, NY 11230
Phone (718) 336-4900

100 Wells Ave
Unit D
Congers, NY 10920

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Club at Lake GibsonLakeland, FL, CCN 106146 Skilled nursing facility Adp of the SNF Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1154763894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CORPORATE DR",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622615",
            "telephone_number": "516-430-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CORPORATE DR",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109622615",
            "telephone_number": "718-534-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIM GITELIS DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "GITELIS",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_middle_name": "ARYEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

Verify at the official NPI Registry.