Individual provider Active NPI

Jeffrey L. Teitelbaum, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1992793657
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
188400 Issued in NY
Practice address
913 Avenue L
Brooklyn, NY 11230-4707
Phone
(718) 859-8391
Fax
(718) 859-8394
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 188400 NY
Internal Medicine Physician 207R00000X 188400 NY Primary

Addresses

Primary practice location

913 Avenue L
Brooklyn, NY 11230-4707

Mailing address

913 Avenue L
Brooklyn, NY 11230-4707
Phone (718) 859-8391

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
I20060104000364 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5597788604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

913 Ave L
Brooklyn, NY 11230-4707
Phone (718) 859-8391

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Jeffrey L. Teitelbaum, MD PC Internal Medicine CurrentSince Apr 2, 2006 Accepting new patients
L'Refuah Medical & Rehabilitation Center, Inc. Past Accepting new patients

Locations

913 Avenue L
Brooklyn, NY 11230
Phone (718) 859-8391

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jeffreyteitelbaum@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIBBA/Endpoint/DAIBBA
  • Direct secure messaging: jeffrey.teitelbaum.p1@direct.ezramedical.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1992793657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304707",
            "telephone_number": "718-859-8391",
            "fax_number": "718-859-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304707",
            "telephone_number": "718-859-8391",
            "fax_number": "718-859-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITELBAUM",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "188400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "188400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.