Individual provider Active NPI

Douglas Elwood

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1033316112
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
247020 Issued in NY
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

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20240914000522 MD Practitioner - Physical Medicine and Rehabilitation 6406396696 Reassigns benefits to 1 organization
I20240916003399 DC Practitioner - Physical Medicine and Rehabilitation 6406396696 Reassigns benefits to 1 organization
I20241205003888 VA Practitioner - Physical Medicine and Rehabilitation 6406396696 Reassigns benefits to 1 organization
I20251112003669 NY Practitioner - General Practice 6406396696 Reassigns benefits to 1 organization
I20260304003334 DC Practitioner - General Practice 6406396696 Reassigns benefits to 1 organization
I20260330003483 NH Practitioner - General Practice 6406396696 Reassigns benefits to 1 organization
I20260519004316 NE Practitioner - General Practice 6406396696 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
247020NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Clinics Medical Group PC CurrentSince Feb 1, 2026 Accepting new patients
Sunday Cares PC CurrentSince Aug 1, 2024 Accepting new patients
De Medical Ny PC CurrentSince Aug 31, 2025 Accepting new patients
Overwatch Health PC PastSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.