NPIMap

Organization Active NPI

Elkovitch DDS PC

  • Dentist
  • Auburn, NY
National Provider Identifier
1255422804
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035104 Issued in NY
Legal business name
ELKOVITCH DDS PC
Practice address
73 South St
Auburn, NY 13021-3916
Phone
(315) 253-4681
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. James Thomas Elkovitch, DDSNPI 1316038961
Title
Partner/Co-Owner
Phone
(315) 253-4681

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 035104 NY Primary

Addresses

Primary practice location

73 South St
Auburn, NY 13021-3916

Mailing address

73 South St
Auburn, NY 13021-3916
Phone (315) 253-4681

Other names 1

  • W.J.Elkovitch DDS PC Other name

National Provider Directory

National Provider Directory

Locations

73 South St
Auburn, NY 13021
Phone (315) 253-4681

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1255422804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SOUTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213916",
            "telephone_number": "315-253-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SOUTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213916",
            "telephone_number": "315-253-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKOVITCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ELKOVITCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER/CO-OWNER",
        "authorized_official_telephone_number": "315-253-4681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W.J.Elkovitch DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.