Individual provider Active NPI

Elie Fteha, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1154493575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229384 Issued in NY
Practice address
359 Avenue U
Brooklyn, NY 11223-3937
Phone
(718) 627-8700
Fax
(718) 627-2783
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229384 NY Primary

Addresses

Primary practice location

359 Avenue U
Brooklyn, NY 11223-3937

Mailing address

359 Avenue U
Brooklyn, NY 11223-3937
Phone (718) 627-8700

Other identifiers 1

IdentifierTypeStateIssuer
02462279MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000104 NY Practitioner - Internal Medicine 1355233941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diamond Medical Associates PCGroup PAC ID 6901884287, 7 clinicians

Practice addresses (Care Compare)

11502 Ocean Promenade
Far Rockaway, NY 11694-2412
Phone (718) 627-8700

440 Ave U
Brooklyn, NY 11223-4010
Phone (718) 627-8700

550 5TH Ave
Suite a
Brooklyn, NY 11215-7373
Phone (718) 638-2551

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Four Seasons Nursing & Rehabilitation Chha Home health agency, Brooklyn, NY, CCN 337434
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • New York Community Hospital of Brooklyn, Inc. Hospital, Brooklyn, NY, CCN 330019
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Four Seasons Nursing and Rehabilitation Center Nursing home, Brooklyn, NY, CCN 335673
  • Ditmas Park Care Center Nursing home, Brooklyn, NY, CCN 335648

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vytaliz Medical Internal Medicine CurrentSince Sep 13, 2023 Accepting new patients
Diamond Medical Associates PC CurrentSince Nov 1, 2003 Accepting new patients
Oceanbrook Medical Care PC Internal Medicine Current Accepting new patients
Ditmas Park Rehabilitation & Care Center LLC Past Accepting new patients
New York Community Hospital of Brooklyn Inc Past Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients
FSNR SNF LLC Past Accepting new patients

Locations

2136 Ocean Ave
Brooklyn, NY 11229
Phone (718) 376-5177

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

359 Avenue U
Brooklyn, NY 11223
Phone (718) 627-8400

440 Avenue U
Brooklyn, NY 11223
Phone (718) 627-8700

3 E Evergreen Rd
Ste 1017
New City, NY 10956
Phone (201) 565-2533

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

Networks

  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFJAD/Endpoint/DBFJAD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ditmas Park Rehab & Care CenterBrooklyn, NY, CCN 335648 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2009
Jan 1, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154493575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233937",
            "telephone_number": "718-627-8700",
            "fax_number": "718-627-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233937",
            "telephone_number": "718-627-8700",
            "fax_number": "718-627-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FTEHA",
        "first_name": "ELIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02462279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.