Active NPI
Jeffrey L. Teitelbaum, MD PC
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1306937347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 188400
- Legal business name
- JEFFREY L. TEITELBAUM, MD PC
- Practice address
- 913 Avenue L
Brooklyn, NY 11230-4707 - Phone
- (718) 859-8391
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Malky Tenenbaum
- Title
- Office Manager
- Phone
- (718) 859-8391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 188400 | NY | Primary |
| Pediatrics Physician | 208000000X | 188400 | NY |
Addresses
Primary practice location
913 Avenue L
Brooklyn, NY 11230-4707
Mailing address
913 Avenue L
Brooklyn, NY 11230-4707
Phone (718) 859-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1052244 | Jeffrey L Teitelbaum MD PC | Compliance | Dec 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
913 Avenue L
Brooklyn, NY 11230
Phone (718) 859-8391
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1992793657
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1023604832
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1508235714
-
- Pediatric Nurse Practitioner
- Brooklyn, NY
- NPI 1215198312
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1871925081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1306937347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 AVENUE L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304707",
"telephone_number": "718-859-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 AVENUE L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112304707",
"telephone_number": "718-859-8391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L. TEITELBAUM, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "TENENBAUM",
"authorized_official_first_name": "MALKY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "718-859-8391",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "188400",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "188400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.