Elina Davidov, FNP-BC, CEN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

350625 Issued in NY

Practice address

5520 13TH Ave
Brooklyn, NY 11219-4587

Phone

(718) 851-3000

NPI assigned

Feb 5, 2014

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York Downstate Medical Center, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians

Community Urgent Care PCGroup PAC ID 2163675372, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Urgent Care PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1295001576
  Medicare reassignment Care Compare group NPD
• Community Health Initiatives, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1033581608
  Medicare reassignment Care Compare group
• Jal 28 LLC

  dba A Merryland Health Center

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1063278281
  Medicare reassignment NPD

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1073937413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 15TH AVE APT 6H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194312",
            "telephone_number": "347-423-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194587",
            "telephone_number": "718-851-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOV",
        "first_name": "ELINA",
        "credential": "FNP-BC, CEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350625",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674091-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liudvika Davidonite, LMSW
• Shelly Davidor, LCSW
• Abram Davidov
• Anver Davidov
• Egal Davidov
• Jakob Davidov
• Karina Davidov, BCBA LBA
• Michael Lee Davidov
• Nelly Davidov
• Rivka Davidov, OTRL

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.

Verify at the official NPI Registry.