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DR. JERROLD J ELLNER M.D.
NPI 1174736797
Internal Medicine - Infectious Disease in Newark, NJ

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
140 BERGEN ST # D, NEWARK, NJ 07103(973) 972-4071(973) 972-3102 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Jan 11, 2019 (2 updates tracked since 2019).

About Dr. Jerrold J Ellner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERROLD J ELLNER M.D. (NPI 1174736797) is an individual infectious disease provider in Newark, New Jersey, licensed in Massachusetts (242471) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1970).

NPPES Registry Identity

NPI1174736797
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JERROLD J ELLNERCredential: M.D.
Location Address140 BERGEN ST # DNewark, NJ 07103
Mailing Address30 Bergen St Rm 1205Newark, NJ 07107-3000
Phone(973) 972-4071
Fax(973) 972-3102
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1970
Enumeration DateMay 8, 2007
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1174736797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MA · 242471
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 242471 (MA)
140 BERGEN ST # D, Newark, NJ 07103
Open in Google Maps ↗

Other Identifiers 2

Medicaid8201200NJ
Medicaid110086419AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerrold J Ellner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365637006
PECOS Enrollment IDI20181219000025
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ESTRELLA FELICIANO
Registered Nurse
140 BERGEN ST # D
NEWARK, NJ 07103
Essex County (973) 972-8309
YINGDA XIE M.D.
Internal Medicine (Infectious Disease)
140 BERGEN ST # D
NEWARK, NJ 07103
Essex County (973) 972-4071
TANZILA SALIM M.D.
Internal Medicine (Infectious Disease)
140 BERGEN ST # D
NEWARK, NJ 07103
Essex County (973) 972-4071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrold Ellner's NPI number?

The NPI number for Jerrold Ellner is 1174736797. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Jerrold Ellner located?

Jerrold Ellner practices at 140 Bergen St # D, Newark, NJ 07103. The listed phone number is (973) 972-4071.

What is Jerrold Ellner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jerrold Ellner enrolled in Medicare?

Yes. Jerrold Ellner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jerrold Ellner affiliated with any hospitals?

According to CMS data, Jerrold Ellner is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Jerrold Ellner was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.