Organization Active NPI

Jeffrey J Elston MD PA

  • Rheumatology Physician
  • Altamonte Springs, FL
National Provider Identifier
1083924278
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME 77929 Issued in FL
Legal business name
JEFFREY J ELSTON MD PA
Practice address
616 E. Altamonte Drive
Suite 203
Altamonte Springs, FL 32701
Phone
(407) 265-1109
Fax
(407) 265-1514
NPI assigned
Oct 21, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Jeffrey J Elston, MDNPI 1346291341
Title
Owner/President
Phone
(407) 265-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME 77929 FL Primary

Addresses

Primary practice location

616 E. Altamonte Drive
Suite 203
Altamonte Springs, FL 32701

Mailing address

616 E. Altamonte Drive
Suite 203
Altamonte Springs, FL 32701
Phone (407) 265-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000493 FL Part B Supplier - Clinic/Group Practice 7113109281 Receives reassigned benefits from 1 practitioner
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

235 S Maitland Ave
Ste 105
Maitland, FL 32751
Phone (407) 265-1109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1083924278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E. ALTAMONTE DRIVE",
            "address_2": "SUITE 203",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-265-1109",
            "fax_number": "407-265-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E. ALTAMONTE DRIVE",
            "address_2": "SUITE 203",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-265-1109",
            "fax_number": "407-265-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J ELSTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "ELSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-265-1108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 77929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.