Active NPI
Pamela G Eliach, M.D.
- Internal Medicine Physician
- New Rochelle, NY
National Provider Identifier
1316946916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 183603
- Practice address
- 77 Quaker Ridge Rd
Suite 200a
New Rochelle, NY 10804-2808 - Phone
- (914) 235-8224
- Fax
- (914) 235-6940
- NPI assigned
- Jul 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 183603 | NY | Primary |
Addresses
Primary practice location
77 Quaker Ridge Rd
Suite 200a
New Rochelle, NY 10804-2808
Mailing address
1333A North Ave
PMB 436
New Rochelle, NY 10804-2120
Phone (914) 235-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01342350 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Internal Medicine | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients |
Locations
77 Quaker Ridge Rd
Ste 200A
New Rochelle, NY 10804
Phone (914) 235-8224
77 Quaker Ridge Rd
#A
New Rochelle, NY 10804
Phone (914) 698-6900
1300 York Ave
New York, NY 10065
Phone (212) 746-2900
Interoperability endpoints
- pae9003@direct.nyp.org
Organizations & group practices 3
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.
-
- Surgery Physician
- New York, NY
- NPI 1669579017
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Internal Medicine Physician
- New York, NY
- NPI 1932127743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1316946916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333A NORTH AVE",
"address_2": "PMB 436",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042120",
"telephone_number": "914-235-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 QUAKER RIDGE RD",
"address_2": "SUITE 200A",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042808",
"telephone_number": "914-235-8224",
"fax_number": "914-235-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIACH",
"first_name": "PAMELA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "183603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01342350",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.