Individual provider Active NPI

Elena Simona Georgescu, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1154576395
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12011800 Issued in NJ
Practice address
27005 76TH Ave
New Hyde Park, NY 11040-1402
Phone
(718) 470-3377
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12011800 NJ Primary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 291507 NY

Addresses

Primary practice location

27005 76TH Ave
New Hyde Park, NY 11040-1402

Mailing address

27005 76TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-3377

Other practice location 1

1825 Eastchester Rd Ste 2-76
Bronx, NY 10461-2301
Phone (718) 904-2500

Other names 1

  • Elena Simona Georgescu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20180320000655 NY Practitioner - HospitalistPractitioner - Internal Medicine 9739351206 Reassigns benefits to 3 organizations
I20241022000598 NJ Practitioner - Internal Medicine 9739351206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

99 Rte 37
Toms River, NJ 08755-6423
Phone (732) 557-8013

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12011800NJMDInternal Medicine Physician
291507NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Aug 3, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Single Specialty CurrentSince Sep 15, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 3, 2018 Accepting new patients
City Medical of Upper East Side, PLLC Single Specialty Current Accepting new patients
Montefiore Medical Center Single Specialty CurrentSince Apr 13, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 3, 2018 Accepting new patients
North Shore-Lij Medical PC Single Specialty CurrentSince Aug 3, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Apr 13, 2018 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1825 Eastchester Rd
Ste 276
Bronx, NY 10461
Phone (718) 904-2500

111 E 210th St
Bronx, NY 10467

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

617 W 181st St
New York, NY 10033
Phone (212) 923-6912

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: soh-simonanuthalapaty@primehealthcare.direct-ci.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.

Hospital & facility affiliations 3

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1154576395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "718-470-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401402",
            "telephone_number": "718-470-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Eastchester Rd Ste 2-76",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612301",
            "country_code": "US",
            "telephone_number": "718-904-2500",
            "fax_number": "717-904-2827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGESCU",
        "first_name": "ELENA",
        "middle_name": "SIMONA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12011800",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "291507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "GEORGESCU",
            "middle_name": "SIMONA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.