Michael J Elinski

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

150409 Issued in NY

Practice address

23 Dominy LN
Behind 19 Cedar St
East Hampton, NY 11937-0296

Phone

(631) 324-1505

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Michael Joseph Elinski Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063674067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DOMINY LN",
            "address_2": "PO BOX 2255",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119370296",
            "telephone_number": "631-324-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DOMINY LN",
            "address_2": "BEHIND 19 CEDAR ST",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119370296",
            "telephone_number": "631-324-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELINSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "150409",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G53424",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME60268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "150409",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008587640",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME60268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G53424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "ELINSKI",
            "middle_name": "JOSEPH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• East Hampton Dental Associates PC
• East Hampton Meals on Wheels Inc
• East Hampton School District
• East Hampton Urgent Care PLLC
• Andrew Wahib Elbardissi, MD
• Thomas Engel
• Erik Peterson PT
• Alison Evert, O.D.
• Margaret Farrell, INTERN/STUDENT
• Linda A Faszczewski, NP

• Psychiatry Physician in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.