Individual provider Active NPI

Jeffrey Neal Elfenbein, D.O.

  • Internal Medicine Physician
  • Seaford, NY
National Provider Identifier
1043308695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
196802 Issued in NY
Practice address
3921 Merrick Rd
Seaford, NY 11783-2823
Phone
(516) 785-0660
Fax
(516) 785-1099
NPI assigned
Oct 10, 2006
Sex
Male
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
Internal Medicine Physician 207R00000X 196802 NY Primary

Addresses

Primary practice location

3921 Merrick Rd
Seaford, NY 11783-2823

Mailing address

3921 Merrick Rd
Seaford, NY 11783-2823
Phone (516) 785-0660

Other identifiers 1

IdentifierTypeStateIssuer
01607712MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041221000014 NY Practitioner - Internal Medicine 8325005879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3921 Merrick Rd
Seaford, NY 11783-2836
Phone (516) 785-0660

3921 Merrick Rd
Suite 1
Seaford, NY 11783-2823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Seaford Family Practice-Internal Medicine PC CurrentSince Jan 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3921 Merrick Rd
Seaford, NY 11783
Phone (516) 781-7771

3921 Merrick Rd
Ste 1
Seaford, NY 11783
Phone (516) 785-0660

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043308695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832823",
            "telephone_number": "516-785-0660",
            "fax_number": "516-785-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 MERRICK RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832823",
            "telephone_number": "516-785-0660",
            "fax_number": "516-785-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFENBEIN",
        "first_name": "JEFFREY",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01607712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.