Nicos Jamaal Elzy, MDIV, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1538 Louisiana Ave
New Orleans, LA 70115-3553

Phone

(504) 896-2345

Fax

(504) 896-2240

NPI assigned

Jul 17, 2017

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nami Southeast Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harvey, LA
  • NPI 1407078934
  NPD (past)
• Nami Southeast Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
  • NPI 1700997798
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1265954762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 LOUISIANA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153553",
            "telephone_number": "504-896-2345",
            "fax_number": "504-896-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 LOUISIANA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153553",
            "telephone_number": "504-896-2345",
            "fax_number": "504-896-2240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Whitney Avenue",
            "address_2": "Ste 409",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "70056",
            "country_code": "US",
            "telephone_number": "504-362-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Whitney Avenue",
            "address_2": "Ste 409",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "70056",
            "country_code": "US",
            "telephone_number": "504-362-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELZY",
        "first_name": "NICOS",
        "middle_name": "JAMAAL",
        "name_prefix": "Mr.",
        "credential": "MDIV, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.