Jimmy Gelin, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

NJDCATEMP-005022 Issued in NJ

Practice address

18639 140TH Ave
Springfield Gardens, NY 11413-2617

Phone

(929) 312-2922

NPI assigned

Apr 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jimmy Gelin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1598384489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18639 140TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18639 140TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114132617",
            "telephone_number": "929-312-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIN",
        "first_name": "JIMMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "NJDCATEMP-005022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "GELIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Adult Medicine Physician in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.