Individual provider Active NPI

Elhan A Suley, DO

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1124031778
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
227423 Issued in NY
Practice address
157 Greenpoint Ave
Brooklyn, NY 11222-7099
Phone
(718) 349-1200
Fax
(718) 349-1220
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227423 NY Primary

Addresses

Primary practice location

157 Greenpoint Ave
Brooklyn, NY 11222-7099

Mailing address

17 Blueberry LN
Staten Island, NY 10312-6419
Phone (516) 225-9059

Other identifiers 1

IdentifierTypeStateIssuer
02799879MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000424 NY Practitioner - Family Practice 3971565987
I20180418000221 PA Practitioner - Family Practice 3971565987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

5024 Pennell Rd
Aston, PA 19014-1868
Phone (610) 228-0707

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227423NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 25, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 25, 2022 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Mar 6, 2018 Accepting new patients
Medical Point P.C. Family Medicine CurrentSince May 1, 2007 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Intermed Care PC Past Accepting new patients
SVS Wellcare Medical PLLC Past Accepting new patients
Express Medical PC Past Accepting new patients
Parkway Medical PLLC Past Accepting new patients
Provider Medical Care PC Family Medicine PastSince Sep 1, 2009 Accepting new patients

Locations

2965 Ocean Pkwy
Ste 2B
Brooklyn, NY 11235
Phone (718) 676-0560

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

1386 Flatbush Ave
Brooklyn, NY 11210
Phone (917) 652-4020

3039 Ocean Pkwy
Ste 3A
Brooklyn, NY 11235
Phone (718) 349-1200

5024 Pennell Rd
Aston, PA 19014
Phone (484) 456-1257

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • Direct secure messaging: elhan.suley.1@27404.direct.athenahealth.com

Organizations & group practices 10

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1124031778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BLUEBERRY LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126419",
            "telephone_number": "516-225-9059",
            "fax_number": "516-558-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 GREENPOINT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112227099",
            "telephone_number": "718-349-1200",
            "fax_number": "718-349-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEY",
        "first_name": "ELHAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "227423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02799879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.