Individual provider Active NPI

Vanessa L Jeffers, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1912913195
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
184938 Issued in NY
Practice address
650 Fulton St
Brooklyn, NY 11217-1517
Phone
(718) 596-9800
Fax
(718) 855-5628
NPI assigned
Jul 31, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 184938 NY Primary

Addresses

Primary practice location

650 Fulton St
Brooklyn, NY 11217-1517

Mailing address

535 Macon St Apt 2
Brooklyn, NY 11233-1389
Phone (914) 582-7771

Other identifiers 1

IdentifierTypeStateIssuer
01490793MedicaidNY

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
I20050504000238 NY Practitioner - Internal Medicine 7416997994 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1989
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1456 Fulton St
Brooklyn, NY 11216-2505
Phone (718) 636-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184938NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Bedford Stuyvesant Family Health Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Brooklyn Plaza Medical Center, Inc Past Accepting new patients

Locations

1238 Broadway
Brooklyn, NY 11221
Phone (718) 443-2428

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

1456 Fulton St
Brooklyn, NY 11216
Phone (718) 636-4500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDFAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1912913195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MACON ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331389",
            "telephone_number": "914-582-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171517",
            "telephone_number": "718-596-9800",
            "fax_number": "718-855-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "VANESSA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01490793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.