Individual provider Active NPI

Phyllis Gelb, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1750426193
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202216-1 Issued in NY
Practice address
139 Fulton St RM 700
New York, NY 10038-2533
Phone
(212) 406-0127
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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 202216-1 NY Primary

Addresses

Primary practice location

139 Fulton St RM 700
New York, NY 10038-2533

Mailing address

20 E 46TH St RM 1102
New York, NY 10017-9247
Phone (212) 682-5158

Other identifiers 1

IdentifierTypeStateIssuer
PG05D69810OtherNYBLUE 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
I20040929001286 NY Practitioner - Family Practice 3274502836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Be Well Medical PCGroup PAC ID 8325383730, 3 clinicians

Practice addresses (Care Compare)

20 E 46TH St
FL 9
New York, NY 10017-9249
Phone (212) 404-8090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202216-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Be Well Medical PC Family Medicine CurrentSince Oct 2, 2018 Accepting new patients
Infinite Wellness Medical PC Family Medicine PastSince Sep 1, 2013 Accepting new patients

Locations

20 E 46th St
Fl 9
New York, NY 10017
Phone (212) 404-8090

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1750426193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST RM 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100179247",
            "telephone_number": "212-682-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FULTON ST RM 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382533",
            "telephone_number": "212-406-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELB",
        "first_name": "PHYLLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202216-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PG05D69810",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.