Individual provider Active NPI

Elina Bover, DPM

  • Podiatrist
  • Rego Park, NY
National Provider Identifier
1356387922
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005731 Issued in NY
Practice address
9876 Queens Blvd
Suite1C
Rego Park, NY 11374-4398
Phone
(718) 830-3239
Fax
(718) 830-3839
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005731 NY Primary

Addresses

Primary practice location

9876 Queens Blvd
Suite1C
Rego Park, NY 11374-4398

Mailing address

2417 Jericho Tpke
#355
Garden City Park, NY 11040-4710
Phone (718) 830-3239

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000786 NY Practitioner - Podiatry 7012816978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9876 Queens Blvd
Suite 1C
Rego Park, NY 11374-4329
Phone (718) 830-3239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue274
Removal or shaving of skin growth121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005731NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erb Podiatry, P.C. Podiatrist CurrentSince Jun 1, 2015 Accepting new patients
E & a Medical Solutions LLC PastSince Jan 12, 2015 Accepting new patients

Locations

3457 82nd St
Ste 1G
Jackson Heights, NY 11372
Phone (718) 424-2457

2417 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 672-8841

9876 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (646) 645-8016

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356387922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 JERICHO TPKE",
            "address_2": "#355",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110404710",
            "telephone_number": "718-830-3239",
            "fax_number": "718-830-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9876 QUEENS BLVD",
            "address_2": "SUITE1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744398",
            "telephone_number": "718-830-3239",
            "fax_number": "718-830-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVER",
        "first_name": "ELINA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.