Individual provider Active NPI

Janice M Gelfand, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1306834692
Registry record updated Jul 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146926 Issued in NY
Practice address
1200 Waters PL
Suite M104
Bronx, NY 10461-2728
Phone
(347) 810-7201
Fax
(718) 794-1222
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2012

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 146926 NY Primary

Addresses

Primary practice location

1200 Waters PL
Suite M104
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Suite M104
Bronx, NY 10461-2728
Phone (347) 810-7201

Other identifiers 1

IdentifierTypeStateIssuer
00908021MedicaidNY

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
I20100729000234 NY Practitioner - NephrologyPractitioner - Internal Medicine 4587797493 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 11, 2015 Accepting new patients
Montefiore Medical Center Internal Medicine CurrentSince Sep 11, 2015 Accepting new patients
Janice M. Gelfand, MD PLLC PastSince Apr 23, 2010 Accepting new patients

Locations

1200 Waters Pl
Ste M104
Bronx, NY 10461
Phone (718) 794-1200

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1521 Jarret Pl
Bronx, NY 10461
Phone (718) 239-8733

1200 Waters Pl
Ste M10
Bronx, NY 10461
Phone (347) 810-7201

1521 Jarret Pl
#P
Bronx, NY 10461

Organizations & group practices 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342310400000",
    "number": "1306834692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "347-810-7201",
            "fax_number": "718-794-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "SUITE M104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "347-810-7201",
            "fax_number": "718-794-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFAND",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00908021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.