Individual provider Active NPI

Judit Gellen, M.D.

  • Hematology & Oncology Physician
  • South Portland, ME
National Provider Identifier
1407817406
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
160490 Issued in NY
Practice address
265 Western Ave
South Portland, ME 04106-2458
Phone
(207) 459-1666
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 160490 NY
Hematology & Oncology Physician 207RH0003X 160490 NY Primary

Addresses

Primary practice location

265 Western Ave
South Portland, ME 04106-2458

Mailing address

333 E 43Rd St Apt 1021
New York, NY 10017-4817
Phone (646) 228-9616

Other identifiers 1

IdentifierTypeStateIssuer
01839183MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070531000083 NY Practitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Internal Medicine 8123126042 Reassigns benefits to 1 organization
I20151112001766 PA Practitioner - HematologyPractitioner - Internal Medicine 8123126042 Reassigns benefits to 1 organization
I20220906001498 AZ Practitioner - Hematology/OncologyPractitioner - Medical Oncology 8123126042 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HRMC, LLC CurrentSince Jul 26, 2022 Accepting new patients
Olean General Hospital Current Accepting new patients
HRMC, LLC Hematology & Oncology Current Accepting new patients
Olean General Hospital Medical Oncology CurrentSince Jul 1, 2015 Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

528 N Barry St
Olean, NY 14760
Phone (716) 375-7416

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

116 Interstate Pkwy
Ste 22
Bradford, PA 16701
Phone (814) 362-8425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1407817406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 43RD ST APT 1021",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174817",
            "telephone_number": "646-228-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062458",
            "telephone_number": "207-459-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLEN",
        "first_name": "JUDIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "160490",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "160490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839183",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.