Healthcare Provider Details

I. General information

NPI: 1730380767
Provider Name (Legal Business Name): JODI GELFAND P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 56TH ST 11TH FLOOR
NEW YORK NY
10022-3609
US

IV. Provider business mailing address

160 E 56TH ST 11TH FLOOR
NEW YORK NY
10022-3609
US

V. Phone/Fax

Practice location:
  • Phone: 212-371-4060
  • Fax: 212-371-4662
Mailing address:
  • Phone: 212-371-4060
  • Fax: 212-371-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number006424
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number006424
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number006424
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: