Individual provider Active NPI

Valerie Ilana Elmalem, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1306022173
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
264799 Issued in NY
Practice address
310 E 14TH St Ste 319S
New York, NY 10003-4284
Phone
(212) 614-8206
Fax
(212) 979-4512
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 54706-020 WI
Ophthalmology Physician 207W00000X 061732 GA
Neuro-ophthalmology Physician 207WX0109X 264799 NY
Ophthalmology Physician 207W00000X 264799 NY Primary

Addresses

Primary practice location

310 E 14TH St Ste 319S
New York, NY 10003-4284

Mailing address

310 E 14TH St Ste 319S
New York, NY 10003-4284
Phone (212) 614-8206

Other practice location 1

103 Overlook Ter
Roslyn Heights, NY 11577-1418
Phone (917) 533-7796

Other practice location 2

393 Old Country Rd Ste 301
Carle Place, NY 11514-2131
Phone (516) 408-4900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000056 NY Practitioner - Ophthalmology 1759432644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

Hospital & facility affiliations

  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54706-020WIMDOphthalmology Physician
264799NYMDNeuro-ophthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

393 Old Country Rd
Ste 301
Carle Place, NY 11514
Phone (516) 408-4900

200 W 57th St
New York, NY 10019
Phone (212) 247-8100

310 E 14th St
Ste 319S
New York, NY 10003
Phone (212) 979-4500

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1306022173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST STE 319S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-614-8206",
            "fax_number": "212-979-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 14TH ST STE 319S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034284",
            "telephone_number": "212-614-8206",
            "fax_number": "212-979-4512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Overlook Ter",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115771418",
            "country_code": "US",
            "telephone_number": "917-533-7796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "393 Old Country Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Carle Place",
            "state": "NY",
            "postal_code": "115142131",
            "country_code": "US",
            "telephone_number": "516-408-4900",
            "fax_number": "516-408-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMALEM",
        "first_name": "VALERIE",
        "middle_name": "ILANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "54706-020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "061732",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "NY",
            "license": "264799",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "264799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.