Active NPI
Douglas Elwood
- Physical Medicine & Rehabilitation Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 247020
- Practice address
- 530 1St Ave
Suite 600
New York, NY 10016-6402 - Phone
- (212) 686-7500
- NPI assigned
- Jul 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 247020 | NY | Primary |
Addresses
Primary practice location
530 1St Ave
Suite 600
New York, NY 10016-6402
Mailing address
51 Braeburn Dr
Princeton, NJ 08540-3613
Phone (347) 218-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA, NY, NH, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- New York University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
137 Poe Rd
Princeton, NJ 08540-4121
2222 227TH St SE
Apt B204
Bothell, WA 98021-7228
2222 227TH St SE Apt
B204
Bothell, WA 98021-7228
83 Hamlet Dr
Commack, NY 11725-4441
PO Box
Suite 1029
Lees Summit, MO 64063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247020 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joyful Clinics Medical Group PC | Current | Accepting new patients | |
| Sunday Cares PC | Current | Accepting new patients | |
| De Medical Ny PC | Current | Accepting new patients | |
| Overwatch Health PC | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 215
Washington, DC 20016
Phone (202) 953-0990
100 West Rd
Ste 300
Towson, MD 21204
Phone (240) 203-7988
102 S Union St
Alexandria, VA 22314
Phone (571) 200-5969
1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772
1545 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 309-1405
8320 Old Courthouse Rd
Ste 401
Vienna, VA 22182
Phone (571) 999-7973
Organizations & group practices 4
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.
-
- Cardiac Rehabilitation Clinic/Center
- Commack, NY
- NPI 1417835034
-
- Primary Care Nurse Practitioner
- Vienna, VA
- NPI 1861359887
DC, NE, NH
-
- Cardiovascular Disease Physician
- Commack, NY
- NPI 1538008768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1033316112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 BRAEBURN DR",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403613",
"telephone_number": "347-218-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 1ST AVE",
"address_2": "SUITE 600",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-686-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWOOD",
"first_name": "DOUGLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "247020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.