NPIMap

Individual provider Active NPI

Elizabeth Gonzalez- Elejaldez, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lansing, NY
National Provider Identifier
1134767700
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405023 Issued in NY
Practice address
250 Auburn Rd
Lansing, NY 14882-8944
Phone
(607) 533-5000
NPI assigned
Dec 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405023 NY Primary

Addresses

Primary practice location

250 Auburn Rd
Lansing, NY 14882-8944

Mailing address

250 Auburn Rd
Lansing, NY 14882-8944
Phone (607) 533-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722000644 NY Practitioner - Nurse Practitioner 9133635683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
State of New York Comptrollers Office 171 clinicians

Practice addresses (Care Compare)

6007 Fair Lakes Rd
Suite 400
East Syracuse, NY 13057-1253
Phone (315) 234-5730

Hospital & facility affiliations

  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
405023NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Apr 12, 2025 Accepting new patients
State of New York Comptrollers Office CurrentSince Apr 12, 2025 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

305 Main St
Binghamton, NY 13905
Phone (607) 729-1295

6007 Fair Lakes Rd
Ste 400
East Syracuse, NY 13057
Phone (315) 234-5730

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1134767700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828944",
            "telephone_number": "607-533-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AUBURN RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148828944",
            "telephone_number": "607-533-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ- ELEJALDEZ",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, NY

Sources for this page

Verify at the official NPI Registry.