Organization Active NPI

Eliteorthocare LLC

  • Durable Medical Equipment & Medical Supplies
  • Saint Albans, NY
National Provider Identifier
1063363034
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITEORTHOCARE LLC
Practice address
20215 Hollis Ave
Saint Albans, NY 11412-1803
Phone
(646) 255-5429
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ioseph Rubenov
Title
President
Phone
(646) 255-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

20215 Hollis Ave
Saint Albans, NY 11412-1803

Mailing address

20215 Hollis Ave
Saint Albans, NY 11412-1803

National Provider Directory

National Provider Directory

Locations

20215 Hollis Ave
Saint Albans, NY 11412
Phone (646) 255-5429

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1063363034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20215 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20215 HOLLIS AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121803",
            "telephone_number": "646-255-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEORTHOCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "RUBENOV",
        "authorized_official_first_name": "IOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-255-5429"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.