Individual provider Active NPI

Jessica Martine Allan, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1265564751
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221655 Issued in NY
Practice address
116 W 23Rd St Ste 102
New York, NY 10011-2599
Phone
(212) 247-6358
Fax
(212) 247-6318
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221655 NY Primary

Addresses

Primary practice location

116 W 23Rd St Ste 102
New York, NY 10011-2599

Mailing address

219 W 16TH St Apt 3D
New York, NY 10011-6029
Phone (212) 247-6358

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
I20050913000858 NY Practitioner - Internal Medicine 2466485206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

116 W 23Rd St
Suite 102
New York, NY 10011-2599
Phone (212) 247-6358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221655NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Allan MD PC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

116 W 23rd St
#102
New York, NY 10011
Phone (212) 247-6358

116 W 23rd St
Ste 102
New York, NY 10011
Phone (212) 247-6358

425 W 59th St
Ste 4A
New York, NY 10019
Phone (212) 265-9866

333 W 57th St
Apt 104
New York, NY 10019
Phone (212) 307-6880

Interoperability endpoints

  • Direct secure messaging: jallan@jallen.curemd.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1265564751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 16TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116029",
            "telephone_number": "212-247-6358",
            "fax_number": "212-247-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST STE 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "212-247-6358",
            "fax_number": "212-247-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "JESSICA",
        "middle_name": "MARTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.