NPIMap

Organization Active NPI

Elizabeth Medical Associates, PC

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1184803629
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
119146-1 Issued in NY
Legal business name
ELIZABETH MEDICAL ASSOCIATES, PC
Practice address
17 Elizabeth St
#608
New York, NY 10013-4803
Phone
(212) 219-8031
Fax
(212) 219-3903
NPI assigned
Nov 1, 2007
Last updated
Apr 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Mark Chu, DONPI 1588755565
Title
President
Phone
(212) 219-8031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 119146-1 NY Primary

Addresses

Primary practice location

17 Elizabeth St
#608
New York, NY 10013-4803

Mailing address

17 Elizabeth St
#608
New York, NY 10013-4803
Phone (212) 219-8031

National Provider Directory

National Provider Directory

Locations

13 Elizabeth St
Ste 608
New York, NY 10013
Phone (212) 219-8031

17 Elizabeth St
#608
New York, NY 10013
Phone (212) 219-8031

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1184803629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "#608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-219-8031",
            "fax_number": "212-219-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ELIZABETH ST",
            "address_2": "#608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134803",
            "telephone_number": "212-219-8031",
            "fax_number": "212-219-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-219-8031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "119146-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.