Active NPI
Elena Maryamchik, MD
- Clinical Pathology/Laboratory Medicine Physician
- New York, NY
National Provider Identifier
1235162157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 1347433
- Practice address
- 327 E 64TH St Dept of
New York, NY 10065-6704 - Phone
- (305) 699-1529
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 279227 | MA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 25MA11075400 | NJ | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 1347433 | NY | Primary |
Addresses
Primary practice location
327 E 64TH St Dept of
New York, NY 10065-6704
Mailing address
888 Main St Apt 236
New York, NY 10044-0215
Phone (305) 699-1529
Other names 1
- Elena Kolovrat
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Miami, LM Miller School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.57 of 100
- Quality
- 70.48
- Improvement activities
- 40
- Cost
- 69.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279227 | MA | MD | Clinical Pathology/Laboratory Medicine Physician |
| 25MA11075400 | NJ | MD | Clinical Pathology/Laboratory Medicine Physician |
| 1347433 | NY | MD | Clinical Pathology/Laboratory Medicine Physician |
| 308911 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph Lauren Center for Cancer Care and Prevention | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1891766366
-
- Special Hospital
- New York, NY
- NPI 1770046351
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1700887411
-
- Special Hospital
- New York, NY
- NPI 1770046351
-
- General Acute Care Hospital
- Basking Ridge, NJ
- NPI 1659385474
-
- General Acute Care Hospital
- Montvale, NJ
- NPI 1841650330
-
- General Acute Care Hospital
- Middletown, NJ
- NPI 1528428521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1235162157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 MAIN ST APT 236",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100440215",
"telephone_number": "305-699-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 E 64TH ST DEPT OF",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656704",
"telephone_number": "305-699-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARYAMCHIK",
"first_name": "ELENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MA",
"license": "279227",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NJ",
"license": "25MA11075400",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NY",
"license": "1347433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELENA",
"last_name": "KOLOVRAT",
"code": "1",
"type": "Former Name"
}
]
}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 May 24, 2021; 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.