NPIMap

Organization Active NPI

Jeremiah M Gelles, MD PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1952723017
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
100988 Issued in NY
Legal business name
JEREMIAH M GELLES, MD PC
Practice address
508 78TH St
Brooklyn, NY 11209-3706
Phone
(718) 491-7300
Fax
(347) 560-6040
NPI assigned
Jan 9, 2014
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Jeremiah M Gelles, MD
Title
MD
Phone
(718) 246-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 100988 NY Primary

Addresses

Primary practice location

508 78TH St
Brooklyn, NY 11209-3706

Mailing address

263 7TH Ave
Suite 5H
Brooklyn, NY 11215-7247
Phone (718) 491-7300

National Provider Directory

National Provider Directory

Locations

263 7th Ave
Ste 5H
Brooklyn, NY 11215
Phone (718) 369-8080

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1952723017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 7TH AVE",
            "address_2": "SUITE 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157247",
            "telephone_number": "718-491-7300",
            "fax_number": "347-560-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093706",
            "telephone_number": "718-491-7300",
            "fax_number": "347-560-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH M GELLES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "GELLES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-246-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "100988",
            "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 Jan 9, 2014; 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.