Active NPIIndividual provider

Dr. Nathaniel J Jellinek, MD

Dermatology in East Greenwich, Rhode Island

NPI Number1245256528
Practice location
1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098
Fax
401-885-6639
Last updated
November 5, 2026

Nathaniel Josef Jellinek is a Dermatology based in East Greenwich, RI. Nathaniel Josef Jellinek practices in East Greenwich, RI and has the professional credentials of MD. The NPI Number for Nathaniel Josef Jellinek is 1245256528 and holds a License No. 220846 (MA). The current practice location address for Nathaniel Josef Jellinek is 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 and can be reached out via phone at 404-885-6647 and via fax at 401-885-6639.

Provider Profile Details

NPI Number
1245256528
Provider Name
Nathaniel Josef Jellinek
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098
Phone Number
404-885-6647
Fax Number
401-885-6639
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2006
Last Update Date
November 5, 2026
Certification Date
November 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1672 S County Trl
Suite 101
East Greenwich, RI 02818-5098
Zip
02818-5098
Phone Number
404-885-6647
Fax Number
401-885-6639
East Greenwich, RI 02818Get directions →

Provider Business Mailing Address Details

Address
526 Main St Ste 302
Acton, MA 01720-3310
City
Acton
State
MA
Zip
01720-3310
Phone Number
978-371-7010
Fax Number
978-371-0522

License Information

License Number (1)
220846
License State (1)
MA
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
MD11514
License State (2)
RI
Taxonomy (2)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
License Number (3)
220846
License State (3)
MA
Taxonomy (3)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
License Number (4)
MD11514
License State (4)
RI
Taxonomy (4)
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nathaniel J Jellinek, MD?

The NPI number of Dr. Nathaniel J Jellinek, MD is 1245256528. It was assigned on July 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Nathaniel J Jellinek, MD?

Dr. Nathaniel J Jellinek, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 220846.

Where does Dr. Nathaniel J Jellinek, MD practice?

The practice location is 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098. The office can be reached at 404-885-6647 (phone) or 401-885-6639 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245256528 directly on the NPPES registry website.

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