Organization Active NPI

Jessica Allan MD PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1427225689
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221655 Issued in NY
Legal business name
JESSICA ALLAN MD PC
Practice address
116 W 23Rd St Ste 102
New York, NY 10011-2599
Phone
(212) 247-6358
Fax
(646) 351-0243
NPI assigned
May 15, 2008
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Bill Tomic
Title
Exec. Dir.
Phone
(212) 247-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221655 NY Primary

Addresses

Primary practice location

116 W 23Rd St Ste 102
New York, NY 10011-2599

Mailing address

219 W 16TH St Apt 3D
10011-6029
New York, NY 10011-6029
Phone (212) 247-6358

Other identifiers 2

IdentifierTypeStateIssuer
1427225689OtherNYGROUP NPI
1265564751OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080625000419 NY Part B Supplier - Clinic/Group Practice 7810068467 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

116 W 23rd St
#102
New York, NY 10011
Phone (212) 247-6358

116 W 23rd St
Ste 102
New York, NY 10011
Phone (212) 247-6358

333 W 57th St
Apt 104
New York, NY 10019
Phone (212) 307-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1427225689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 16TH ST APT 3D",
            "address_2": "10011-6029",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116029",
            "telephone_number": "212-247-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 23RD ST STE 102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112599",
            "telephone_number": "212-247-6358",
            "fax_number": "646-351-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ALLAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "TOMIC",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "EXEC. DIR.",
        "authorized_official_telephone_number": "212-247-6358"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1427225689",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265564751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.