Peggy-Rose Bokeng Elango, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

266880 Issued in NY

Practice address

201 E 65TH St
New York, NY 10065-6701

Phone

(212) 879-4700

Fax

(212) 750-9654

NPI assigned

May 11, 2009

Reactivated

Feb 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: pelango66121@northwell.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FJGCBD/Endpoint/FJGCBD

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.

• Elango Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1609397041
  Medicare reassignment

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1154555787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656701",
            "telephone_number": "212-879-4700",
            "fax_number": "212-750-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 65TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656701",
            "telephone_number": "212-879-4700",
            "fax_number": "212-750-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANGO",
        "first_name": "PEGGY-ROSE",
        "middle_name": "BOKENG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2012-09-26",
        "deactivation_date": "2011-09-20",
        "reactivation_date": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Schattner, MD, PLLC
• Elaine Yudkovitz PHD LCSW PLLC
• Elaine Yudkovitz PHD,LCSW,PC
• Elan B. Singer, MD, PC
• Elango Medical PLLC
• Shakthi Elangovan
• Ramzi Khalid Elased
• Laila Elashaal, MHC-LP
• Iyman Elashmawy, D.D.S.
• Menna-Allah Elaskandrany

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.