JELETTA JOSE M.D.
NPI 1912432964
Psychiatry & Neurology - Psychosomatic Medicine in New York, NY

Active since April 27, 2017PECOS Enrolled
1090 AMSTERDAM AVE, NEW YORK, NY 10025(212) 523-5089 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 18, 2022, Apr 27, 2017 (2 updates tracked since 2017).

About Jeletta Jose M.d. NPPES

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

JELETTA JOSE M.D. (NPI 1912432964) is an individual psychosomatic medicine provider in New York, New York, licensed in New York (311728-01) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912432964
Entity TypeIndividualFemale
Primary Taxonomy2084P0015X
Provider Legal NameJELETTA JOSECredential: M.D.
Location Address1090 AMSTERDAM AVENew York, NY 10025-1737
Mailing Address1090 Amsterdam AveNew York, NY 10025-1737
Sole ProprietorNo
Enumeration DateApril 27, 2017
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1912432964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License Licensed in NY · 311728-01
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 311728-01 (NY)
1090 AMSTERDAM AVE, New York, NY 10025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeletta Jose M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE, SUITE 17 NORTH 13
NEW YORK, NY 10025
Orthopaedic Surgery
1090 AMSTERDAM AVE, SUITE 6E
NEW YORK, NY 10025
Pediatrics
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychologist (Clinical)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
1090 AMSTERDAM AVE
NEW YORK, NY 10025
Internal Medicine (Gastroenterology)
1090 AMSTERDAM AVE, 8B
NEW YORK, NY 10025
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1090 AMSTERDAM AVE, SUITE 8B
NEW YORK, NY 10025

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 Jeletta Jose's NPI number?

The NPI number for Jeletta Jose is 1912432964. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Jeletta Jose located?

Jeletta Jose practices at 1090 Amsterdam Ave, New York, NY 10025. The listed phone number is (212) 523-5089.

What is Jeletta Jose's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Jeletta Jose enrolled in Medicare?

Yes. Jeletta Jose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeletta Jose was last updated on May 18, 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.