Organization Active NPI

Chelnitsky Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1750999611
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHELNITSKY MEDICAL PC
Practice address
133A W End Ave Ste 1
Brooklyn, NY 11235-4808
Phone
(718) 891-1300
Fax
(718) 891-1301
NPI assigned
Jul 16, 2020
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Ellen Chelnitsky, DONPI 1164785390
Title
Owner
Phone
(718) 891-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

133A W End Ave Ste 1
Brooklyn, NY 11235-4808

Mailing address

133A W End Ave Ste 1
Brooklyn, NY 11235-4808
Phone (718) 891-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200929001441 NY Part B Supplier - Clinic/Group Practice 2567881303 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2191193Chelnitsky Medical PC133A West End Ave Suite 1, Brooklyn, NY 11235Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

133A W End Ave
Ste 1
Brooklyn, NY 11235
Phone (718) 891-1300

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": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1750999611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133A W END AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354808",
            "telephone_number": "718-891-1300",
            "fax_number": "718-891-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133A W END AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354808",
            "telephone_number": "718-891-1300",
            "fax_number": "718-891-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELNITSKY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "CHELNITSKY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-891-1300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.