Individual provider Active NPI

Beltran Elgart, MD

  • Psychiatry Physician
  • Teaneck, NJ
National Provider Identifier
1205904794
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
139392 Issued in NY
Practice address
405 Cedar LN
Suite 6
Teaneck, NJ 07666-1739
Phone
(914) 764-3479
NPI assigned
Dec 1, 2006
Last updated
May 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 139392 NY Primary

Addresses

Primary practice location

405 Cedar LN
Suite 6
Teaneck, NJ 07666-1739

Mailing address

5 Patterson Rd
Pound Ridge, NY 10576-1521
Phone (914) 764-3479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101227000215 NJ Practitioner - Psychiatry 3476741075 Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1961
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 Cedar LN
Teaneck, NJ 07666-1739
Phone (914) 764-3479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139392NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1205904794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PATTERSON RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761521",
            "telephone_number": "914-764-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CEDAR LN",
            "address_2": "SUITE 6",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661739",
            "telephone_number": "914-764-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGART",
        "first_name": "BELTRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "139392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.