Individual provider Active NPI

Elna Tamayo-Prado, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1023080819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
114826 Issued in NY
Practice address
86 E 49TH St
Suite G
Brooklyn, NY 11203-1901
Phone
(718) 363-6646
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 114826 NY Primary

Addresses

Primary practice location

86 E 49TH St
Suite G
Brooklyn, NY 11203-1901

Mailing address

86 E 49TH St
Suite G
Brooklyn, NY 11203-1901
Phone (718) 363-6646

Other identifiers 1

IdentifierTypeStateIssuer
01844146MedicaidNY

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
114826NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dove Pediatric Service Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023080819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E 49TH ST",
            "address_2": "SUITE G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031901",
            "telephone_number": "718-363-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 E 49TH ST",
            "address_2": "SUITE G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031901",
            "telephone_number": "718-363-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO-PRADO",
        "first_name": "ELNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "114826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01844146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.