Individual provider Active NPI

Elizabeth Abrams, DDS

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1104956697
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051934 Issued in NY
Practice address
9438 59TH Ave
Elmhurst, NY 11373-5151
Phone
(718) 699-1100
Fax
(718) 699-1300
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 051934 NY Primary

Addresses

Primary practice location

9438 59TH Ave
Elmhurst, NY 11373-5151

Mailing address

163 Aldershot LN
Manhasset, NY 11030-3705
Phone (516) 627-0530

Other practice location 1

16 Park Ave
Manhasset, NY 11030-2442
Phone (516) 472-7575

Other identifiers 1

IdentifierTypeStateIssuer
02780376MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Denal Care P.C. Past Accepting new patients
Manhasset Dental Arts General Practice PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104956697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ALDERSHOT LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303705",
            "telephone_number": "516-627-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9438 59TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-699-1100",
            "fax_number": "718-699-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110302442",
            "country_code": "US",
            "telephone_number": "516-472-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02780376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.