Individual provider Active NPI

Jennifer B Gelbstein, MD

  • Family Medicine Physician
  • Waterbury, VT
National Provider Identifier
1427075290
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042-0009948 Issued in VT
Practice address
130 S Main St
Waterbury Medical Associates
Waterbury, VT 05676-1519
Phone
(802) 244-7874
Fax
(802) 244-4106
NPI assigned
Jul 16, 2006
Last updated
Dec 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0009948 VT Primary

Addresses

Primary practice location

130 S Main St
Waterbury Medical Associates
Waterbury, VT 05676-1519

Mailing address

PO Box 547
Central Vermont Medical Center - Finance Dept
Barre, VT 05641-0547
Phone (802) 244-7874

Other identifiers 2

IdentifierTypeStateIssuer
OVN2486MedicaidVT
3091431MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20050929000187 VT Practitioner - Family Practice 8921033812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1311 Barre Montpelier Rd
Berlin, VT 05602

1311 Barre Montpelier Road
400 CVMC Orthopedics and Spine Medicine
Berlin, VT 05602
Phone (802) 225-3970

156 Main St
Montpelier, VT 05602-2702
Phone (802) 223-4738

246 Granger Rd
Berlin, VT 05602

76 McNeil Rd
Waterbury Center, VT 05677-7161
Phone (802) 225-3970

82 E View Lane
3 CVMC Family Psychiatry
Berlin, VT 05602
Phone (802) 225-1266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042-0009948VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Family Medicine CurrentSince Feb 15, 2001 Accepting new patients

Locations

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

130 S Main St
Waterbury, VT 05676
Phone (802) 244-7874

Interoperability endpoints

  • Direct secure messaging: jgelbstein71849@direct.uvmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1427075290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-244-7874",
            "fax_number": "802-244-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "WATERBURY MEDICAL ASSOCIATES",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761519",
            "telephone_number": "802-244-7874",
            "fax_number": "802-244-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELBSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0009948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2486",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091431",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

Verify at the official NPI Registry.