Dr Jordan S Gitlin, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Somers, New York. His current practice location is
247 Route 100, Suite 1002, Somers, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 962-8290.
Dr Jordan S Gitlin is licensed to practice in Florida (license number ME170154) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164450300.
Physician's Profile
Full Name | Dr Jordan S Gitlin |
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Gender | Male |
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Speciality | Urology - Pediatric Urology |
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Location | 247 Route 100, Somers, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164450300
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648247015
- Enrollment ID: I20040914001370
Medical Identifiers
Medical identifiers for Dr Jordan S Gitlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164450300 | NPI | - | NPPES |
02298126 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2088P0231X | Urology - Pediatric Urology | ME170154 (Florida) | Primary |
208800000X | Urology | 203315 (New York) | Secondary |
2088P0231X | Urology - Pediatric Urology | 203315 (New York) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan S Gitlin allows following entities to bill medicare on his behalf.
Entity Name | Pediatric Urology Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518989193 PECOS PAC ID: 5597656561 Enrollment ID: O20040322000453 |
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Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
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Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan S Gitlin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jordan S Gitlin, MD 1999 Marcus Ave, Suite M18, New Hyde Park, NY 11042-1017 Ph: (516) 466-6953 | Dr Jordan S Gitlin, MD 247 Route 100, Suite 1002, Somers, NY 10589-3231 Ph: (914) 962-8290 |
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