NATHANIEL J. JELLINEK MD – NPI #1245256528
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

NATHANIEL JELLINEK is a dermatologist located in EAST GREENWICH, RI. NPPES has assigned the NPI number 1245256528 to NATHANIEL JELLINEK on July 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Apr 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATHANIEL JELLINEK below.

NPI Profile for
NATHANIEL J. JELLINEK

NPI Number
1245256528
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NATHANIEL J. JELLINEK
Credentials
MD
Primary location
1672 S COUNTY TRL
SUITE 101
EAST GREENWICH, RI 02818-5098
Phone: (404) 885-6647 Fax: (401) 885-6639
2 Other location(s):
29 Cottage St Ste B
Amherst, MA 01002-2178
Phone: (413) 549-7400
Fax: (413) 549-7402
153 E Washington St
North Attleboro, MA 02760-2312
Phone: (508) 699-7546
Fax: (508) 699-7570
Mailing address
1672 S COUNTY TRL STE 101
EAST GREENWICH, RI 02818-5099
Phone: (404) 885-6647 Fax: (401) 885-6639
Sole Proprietor
Yes
Updated
Certification Date
Apr 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NATHANIEL JELLINEK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidRINJ53855
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)		 RI 11514
207N00000X
- Dermatology		 RI 11514

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NATHANIEL JELLINEK is affiliated with the following medical group(s):
  • HOSPITAL
    • THE MIRIAM HOSPITAL
      164 SUMMIT AVENUE
      PROVIDENCE, RI 02906

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.