Individual provider Active NPI

Chana E. Gelbfish, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1366416182
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
150668-1 Issued in NY
Practice address
2502 Avenue I
Brooklyn, NY 11210-2830
Phone
(718) 258-1400
Fax
(718) 421-0628
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 150668-1 NY Primary

Addresses

Primary practice location

2502 Avenue I
Brooklyn, NY 11210-2830

Mailing address

2502 Avenue I
Brooklyn, NY 11210-2830
Phone (718) 258-1400

Other identifiers 1

IdentifierTypeStateIssuer
00918727MedicaidNY

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
I20161221001648 NY Practitioner - Pediatric Medicine 6901187442 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2502 Ave I
Brooklyn, NY 11210-2830
Phone (718) 258-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150668-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Refuah Health Center, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Refuah Health Center Inc CurrentSince Sep 1, 2018 Accepting new patients
Chana E. Gelbfish, M.D. PastSince Nov 25, 2013 Accepting new patients
Chana Gelbfish, MD Pediatrics PastSince Nov 25, 2013 Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: chanagelbfish@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFIBCA/Endpoint/DFIBCA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 5

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1366416182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 AVENUE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102830",
            "telephone_number": "718-258-1400",
            "fax_number": "718-421-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 AVENUE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102830",
            "telephone_number": "718-258-1400",
            "fax_number": "718-421-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBFISH",
        "first_name": "CHANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "150668-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.