ILIRJAN GJONBALAJ
NPI 1699272658
Psychiatry & Neurology - Psychiatry in New York, NY
About Ilirjan Gjonbalaj NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILIRJAN GJONBALAJ (NPI 1699272658) is an individual psychiatry provider in New York, New York, licensed in New York (305441-01) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ilirjan Gjonbalaj 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.
Medicare Billing Reassignment
Medicare enrollment records show Ilirjan Gjonbalaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
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 Ilirjan Gjonbalaj's NPI number?
The NPI number for Ilirjan Gjonbalaj is 1699272658. It was assigned to this individual provider in the NPPES registry on April 6, 2018.
Where is Ilirjan Gjonbalaj located?
Ilirjan Gjonbalaj practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 686-7500.
What is Ilirjan Gjonbalaj's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Ilirjan Gjonbalaj enrolled in Medicare?
Yes. Ilirjan Gjonbalaj 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.
Which organization bills Medicare for Ilirjan Gjonbalaj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilirjan Gjonbalaj reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Ilirjan Gjonbalaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ilirjan Gjonbalaj affiliated with any hospitals?
According to CMS data, Ilirjan Gjonbalaj is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Ilirjan Gjonbalaj was last updated on June 8, 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.
# Ilirjan Gjonbalaj · NPI 1699272658
Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 6, 2018.
## Identity
- **NPI:** 1699272658 (Entity type: Individual)
- **Enumerated:** April 6, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 305441-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (212) 686-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699272658) · Data from the CMS NPPES public registry.