Active NPI
Yonatan Elstein, MD
- Pediatrics Physician
- New Square, NY
National Provider Identifier
1003104191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 261918
- Practice address
- 728 N Main St
New Square, NY 10977-8916 - Phone
- (845) 354-9300
- Fax
- (845) 354-3500
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 261918 | NY | Primary |
Addresses
Primary practice location
728 N Main St
New Square, NY 10977-8916
Mailing address
728 N Main St
New Square, NY 10977-8916
Phone (845) 354-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261918 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1003104191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300",
"fax_number": "845-354-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9300",
"fax_number": "845-354-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSTEIN",
"first_name": "YONATAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "261918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "261918",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.