Individual provider Active NPI

Robert Matthew Gelfand, M.D.

  • Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1407855612
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
186949 Issued in NY
Practice address
1751 York Ave
New York, NY 10128-6828
Phone
(212) 879-3496
Fax
(212) 879-3724
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 186949 NY Primary
Hematology & Oncology Physician 207RH0003X 25MA09074900 NJ

Addresses

Primary practice location

1751 York Ave
New York, NY 10128-6828

Mailing address

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

Other identifiers 1

IdentifierTypeStateIssuer
3Z2111OtherNYBLUE CROSS / BLUE SHIELD

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
I20080213000116 NY Practitioner - Hematology/Oncology 8325121403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 Broadway
Suite 2000
New York, NY 10004-1318
Phone (212) 400-8384

1751 York Ave
New York, NY 10128-6828
Phone (212) 879-3496

35 W 45TH St
FL 6
New York, NY 10036-4903
Phone (212) 879-3496

Merit-based Incentive Payment System (MIPS)

Final score
94.17 of 100Reported as individual
Quality
88.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186949NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Side Oncology Associates PLLC Dba American Infusion Center Hematology & Oncology CurrentSince Oct 11, 2007 Accepting new patients

Locations

7136 110th St
Ste 1G
Forest Hills, NY 11375
Phone (718) 520-2210

1751 York Ave
New York, NY 10128
Phone (212) 369-2490

35 W 45th St
Fl 6
New York, NY 10036
Phone (212) 400-8384

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1407855612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286828",
            "telephone_number": "212-879-3496",
            "fax_number": "212-879-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFAND",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "186949",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09074900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "3Z2111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.