Individual provider Active NPI

Rashiah Elam, MD

  • Family Medicine Physician
  • Nyack, NY
National Provider Identifier
1083874226
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
248946-1 Issued in NY
Practice address
294 Piermont Avenue
Suite 1a
Nyack, NY 10960-1641
Phone
(917) 736-7577
NPI assigned
Jun 11, 2008
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 248946-1 NY Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 248946-1 NY

Addresses

Primary practice location

294 Piermont Avenue
Suite 1a
Nyack, NY 10960-1641

Mailing address

294 Piermont Avenue
Suite 1a
Nyack, NY 10960-1641
Phone (917) 736-7577

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
I20111004000085 NY Practitioner - Addiction MedicinePractitioner - Family Practice 0749452357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248946-1NYMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince Jul 18, 2019 Accepting new patients
Symphony Medical PC CurrentSince Jul 18, 2019 Accepting new patients
Symphony Medical PC Current Accepting new patients
Resource Recovery Center of Orange County LLC Past Accepting new patients

Locations

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7723

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1083874226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 PIERMONT AVENUE",
            "address_2": "SUITE 1A",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601641",
            "telephone_number": "917-736-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PIERMONT AVENUE",
            "address_2": "SUITE 1A",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601641",
            "telephone_number": "917-736-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "RASHIAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "248946-1",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "248946-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.