Individual provider Active NPI

Elzbieta Marchelska, M.D.

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1356439285
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
242846 Issued in NY
Practice address
7425 Grand Ave
Elmhurst, NY 11373-4126
Phone
(718) 803-2273
Fax
(718) 803-2272
NPI assigned
Oct 10, 2006
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203262 MA
Internal Medicine Physician 207R00000X 242846 NY Primary

Addresses

Primary practice location

7425 Grand Ave
Elmhurst, NY 11373-4126

Mailing address

12206 Powells Cove Blvd
B
College Point, NY 11356-1245
Phone (718) 321-1708

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
I20081025000019 NY Practitioner - Internal Medicine 4082772629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203262MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

4201 Bell Blvd
Bayside, NY 11361
Phone (253) 968-1511

2459 Merrick Rd
Bellmore, NY 11710
Phone (516) 826-2273

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

19120 Northern Blvd
Flushing, NY 11358
Phone (718) 224-8855

415 Northern Blvd
#1
Great Neck, NY 11021
Phone (516) 829-2273

3276 Hempstead Tpke
Levittown, NY 11756
Phone (516) 764-2273

656 Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 764-2273

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: elzbieta.marchelska.1@2983.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1356439285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12206 POWELLS COVE BLVD",
            "address_2": "B",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561245",
            "telephone_number": "718-321-1708",
            "fax_number": "718-321-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 GRAND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734126",
            "telephone_number": "718-803-2273",
            "fax_number": "718-803-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHELSKA",
        "first_name": "ELZBIETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "203262",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "242846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.