Eliyakim Hershkop
Individual provider Active NPI Internal Medicine Physician · Brooklyn, NY
NPI 1134748940 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1134748940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 325156 (NY)
- Practice address
- 4801 10TH Ave
Brooklyn, NY 11219 - Phone
- (718) 283-6000
- NPI assigned
- Apr 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
3201 Kings Hwy
Brooklyn, NY 11234-2625
Phone (718) 951-2851
Hospital & facility affiliations
- Mount Sinai Beth Israel
- Mount Sinai Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229001667 | NY | Practitioner - Hospitalist | 4688024839 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 325156 | NY | MD | Internal Medicine Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Internal Medicine | Current |
Accepting new patients |
| Beth Israel Medical Center | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients |
Locations
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
150 E 42nd St
New York, NY 10017
Phone (212) 661-8139
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 325156 | NY | Yes |
Addresses
Primary practice location
4801 10TH Ave
Brooklyn, NY 11219
Mailing address
1237 E 18TH St
Brooklyn, NY 11230-5311
Phone (215) 733-9726
Other providers in Brooklyn, NY
- Minna Hershcopf
- Madeline Hershenov
- Dennis Hershey
- Penny Hershey
- Yehudis Hershfang
- Krena Hershkop
- Mazal Adina Hershkop
- David William Hershkowitz
- Esther Hershkowitz
- Henny Ruchel Hershkowitz
All providers in Brooklyn, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.