Ely D Pelta MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ELY D PELTA MD PA

Doing business as

CORAL SPRINGS PHOBIA CENTER

Practice address

5551 N University Dr
Suite 102
Coral Springs, FL 33067-4651

Phone

(954) 345-8733

Fax

(954) 345-8233

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ely D Pelta, MD

Title

Owner

Phone

(954) 345-8733

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CORAL SPRINGS PHOBIA CENTER Doing business as

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1184844771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-345-8733",
            "fax_number": "954-345-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 N UNIVERSITY DR",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674651",
            "telephone_number": "954-345-8733",
            "fax_number": "954-345-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY D PELTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "PELTA",
        "authorized_official_first_name": "ELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-345-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM3126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORAL SPRINGS PHOBIA CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Ellis, PSYD
• Jordan Benjamin Elman, M.D.
• Airame Eloizin
• Ahmed Elsayed
• Ashraf Elsayed
• Elysee H Sinclair MD
• Tiffany Emano
• Embrace All LLC
• Emdr Unlocked LLC
• Bonnie Emerson, M.S. CCC-SLP

• Psychiatry Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.