Yehuda D. Eliezri, M.D. P.C.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

YEHUDA D. ELIEZRI, M.D. P.C.

Practice address

7A Medical Park Dr
Pomona, NY 10970-3516

Phone

(845) 354-1169

Fax

(845) 362-5126

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yehuda D Eliezri, M.D.NPI 1801837240

Title

President

Phone

(845) 354-1169

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Yehuda David Eliezri, M.D.

  • Procedural Dermatology Physician
  • Pomona, NY
  • NPI 1801837240
  Medicare reassignment NPD Authorized official
• Edward Brady Desciak, M.D.

  • Procedural Dermatology Physician
  • Pomona, NY
  • NPI 1124062922
  Medicare reassignment NPD

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1326077538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEHUDA D. ELIEZRI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ELIEZRI",
        "authorized_official_first_name": "YEHUDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-354-1169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Misha Witkes
• Beverly Witter
• Amanda Pope Wohl, PT
• Women's Health Medical Group of New York, PLLC
• Lisa S Yarus, SLP
• Wen Yau Yen, PT
• Young Yoon, MD
• Vivian Zacch
• Chava Rina Zeilingold
• Shira Zelman, MS. ED BCBA LBA

• Procedural Dermatology Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.