Ilana Etelzon MD PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ILANA ETELZON MD PC

Practice address

35 West End Avenue
Suite 1
Brooklyn, NY 11235

Phone

(718) 682-3686

Fax

(718) 682-3658

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Ilana EtelzonNPI 1730471814

Title

MD

Phone

(718) 682-3686

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilana Etelzon, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1730471814
  Medicare reassignment Authorized official
• Esther Malka Goldenberg, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1134949886
  NPD
• Alisa Linkova, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1033863998
  NPD
• Shilpa Thomas

  • Acute Care Nurse Practitioner
  • Staten Island, NY
  • NPI 1063027365
  NPD
• Alexandra Defrance, PA-C

  • Surgical Physician Assistant
  • Glastonbury, CT
  • NPI 1144951492
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1104428796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WEST END AVENUE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-682-3686",
            "fax_number": "718-682-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WEST END AVENUE",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-682-3686",
            "fax_number": "718-682-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILANA ETELZON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "ETELZON",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-682-3686"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davlatbek Ikromov, RN
• Ugochukwu C. Ikwuakor, LMSW
• Chibuokem Prince Ikwuazom, MD
• Crisanta Hipolito Ilagan, MD
• Ilan Semandov DO PC
• Ilana Kersch Nutrition PLLC
• Denys Ilchyshyn
• Alexander Ildardashty
• Ilene Z. Coopersmith, M.D., P.C.
• Katherine Irby Iler, L.AC.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.