Active NPI
Celia H Elbrecht, M.D.
- Neurology Physician
- Ithaca, NY
National Provider Identifier
1285955740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 256579-1
- Practice address
- 126 Farm St
Ithaca, NY 14850-3767 - Phone
- (607) 319-4472
- Fax
- (607) 319-4472
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 256579-1 | NY | Primary |
Addresses
Primary practice location
126 Farm St
Ithaca, NY 14850-3767
Mailing address
126 Farm St
Ithaca, NY 14850-3767
Phone (607) 319-4472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256579-1 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256579-1 | NY | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1285955740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 FARM ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503767",
"telephone_number": "607-319-4472",
"fax_number": "607-319-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 FARM ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503767",
"telephone_number": "607-319-4472",
"fax_number": "607-319-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBRECHT",
"first_name": "CELIA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "256579-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
"identifier": "256579-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.