Individual provider Active NPI

Elana Zucker Klein, PA C

  • Physician Assistant
  • Spring Valley, NY
National Provider Identifier
1083622252
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0061741 Issued in NY
Practice address
21 Ellington Way
Spring Valley, NY 10977
Phone
(845) 362-7353
Fax
(845) 782-7926
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0061741 NY Primary

Addresses

Primary practice location

21 Ellington Way
Spring Valley, NY 10977

Mailing address

21 Ellington Way
Spring Valley, NY 10977
Phone (845) 362-7353

Other names 1

  • Elana Zucker Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000405 NY Practitioner - Physician Assistant 0648271957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Hills Dermatology Group PLLCGroup PAC ID 6608037320, 14 clinicians
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

10740 Queens Blvd
Suite 204
Forest Hills, NY 11375-4252
Phone (718) 459-0900

250 Skillman St
Suite 202
Brooklyn, NY 11205-1218
Phone (718) 964-6161

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0061741NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Hills Dermatology Group PLLC CurrentSince Jul 31, 2025 Accepting new patients
Mickey P. Sharma, M.D. Past Accepting new patients
Dial Doc Now Medical Group PC PastSince May 21, 2023 Accepting new patients

Locations

10740 Queens Blvd
Ste 204
Forest Hills, NY 11375
Phone (718) 268-8845

10002 Rockaway Blvd
Ste 2
Ozone Park, NY 11417
Phone (718) 380-2330

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1083622252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ELLINGTON WAY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-362-7353",
            "fax_number": "845-782-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ELLINGTON WAY",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-362-7353",
            "fax_number": "845-782-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER KLEIN",
        "first_name": "ELANA",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0061741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELANA",
            "last_name": "ZUCKER",
            "credential": "PA C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.