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JODELL CHERUBIN MD
NPI 1366133233
Student in an Organized Health Care Education/Training Program in New York, NY

Active since May 19, 2023PECOS Enrolled
1824 MADISON AVE, NEW YORK, NY 10035(212) 423-4500 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jodell Cherubin Md NPPES

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

JODELL CHERUBIN MD (NPI 1366133233) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norwalk, and is a graduate of Howard University College Of Medicine (2023).

NPPES Registry Identity

NPI1366133233
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJODELL CHERUBINCredential: MD
Location Address1824 MADISON AVENew York, NY 10035-3832
Mailing Address41 Marlowe RdValley Stream, NY 11580-1127 · (516) 451-0060
Phone(212) 423-4500
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2023
Enumeration DateMay 19, 2023
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1366133233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 84948 (CT)
1824 MADISON AVE, New York, NY 10035
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Secondary Practice Location 1

Location 1637 West AveNorwalk, CT 06850-4004 · Phone (203) 276-7870

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodell Cherubin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183198807
PECOS Enrollment IDI20260703000332
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.

Medicare Billing Reassignment

Medicare enrollment records show Jodell Cherubin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stamford Health Medical Group Inc
30 mi
General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1154633980 (203) 276-7447

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.

JOSEPH PORTELLI
Student in an Organized Health Care Education/Training Program
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
ADA UMUBERA MSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (646) 532-1923
CAITLIN SULLIVAN-POND LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4200
MS. TRA HOANG LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
NGOBITAK WILLIAMSON DDS
Dentist (Pediatric Dentistry)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 359-8660
DR. ROSS G HEWITT MD
Internal Medicine (Infectious Disease)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DENISE E TAYLOR LCSW
Social Worker (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DR. ROSHANE WRIGHT PH.D
Psychologist (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 633-0815

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 Jodell Cherubin's NPI number?

The NPI number for Jodell Cherubin is 1366133233. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Jodell Cherubin located?

Jodell Cherubin practices at 1824 Madison Ave, New York, NY 10035. The listed phone number is (212) 423-4500.

What is Jodell Cherubin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jodell Cherubin enrolled in Medicare?

Yes. Jodell Cherubin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jodell Cherubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodell Cherubin reassigns Medicare benefits to Stamford Health Medical Group Inc (Stamford, CT). 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 Jodell Cherubin'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 Jodell Cherubin was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.