JERRY JOSE DO
NPI 1255027900
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Jerry Jose Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY JOSE DO (NPI 1255027900) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Jose Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Jose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10025
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11203
BROOKLYN, NY 11203
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 Jerry Jose's NPI number?
The NPI number for Jerry Jose is 1255027900. It was assigned to this individual provider in the NPPES registry on April 14, 2023.
Where is Jerry Jose located?
Jerry Jose practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 245-3131.
What is Jerry Jose's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jerry Jose enrolled in Medicare?
Yes. Jerry Jose is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Jose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Jose reassigns Medicare benefits to Montefiore Medical Center (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Jose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerry Jose was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jerry Jose, DO · NPI 1255027900
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 14, 2023.
## Identity
- **NPI:** 1255027900 (Entity type: Individual)
- **Enumerated:** April 14, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 450 CLARKSON AVE, Brooklyn, NY 11203-2012
- **Phone:** (718) 245-3131
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Montefiore Medical Center (NPI 1760288278, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255027900) · Data from the CMS NPPES public registry.