Azita K Elyaderani, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

056177 Issued in NY

Practice address

506 Malcolm X Blvd
New York, NY 10037-1802

Phone

(412) 977-2288

NPI assigned

Jun 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aelyaderani675173@nychhc.direct-ci.com

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.

• Buckeye Pediatric Partners and Orthodontics

  • Pediatric Dentistry
  • Buckeye, AZ
  • NPI 1659652311
  NPD (past)

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1336400720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HUNTER DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667604",
            "telephone_number": "412-977-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "412-977-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELYADERANI",
        "first_name": "AZITA",
        "middle_name": "K",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macdale John Elwin, M.D
• Douglas Elwood
• Grant Ely, PA
• Linda Ely, LSW
• Scott A Ely, M.D., M.P.H.
• Ariel Elyahu
• Elyse D. Schunkewitz, LCSW, PLLC
• Elyse Dubin MD PC
• Elyse Kupperman Chaifetz, PH.D. Psychologist PLLC
• Elyse Sosin LLC

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.