Active NPI
Elena Parhomchuk
- Family Nurse Practitioner
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 350303
- Practice address
- 11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211 - Phone
- (248) 266-4200
- NPI assigned
- Sep 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002751 | FL | |
| Family Nurse Practitioner | 363LF0000X | 350303 | NY | Primary |
Addresses
Primary practice location
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Mailing address
PO Box 639295
Cincinnati, OH 45263-9295
Phone (248) 266-4200
Other practice location 1
841 Prudential Dr Ste 1900
Jacksonville, FL 32207-8373
Phone (904) 633-0920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY, PA, GA, WV, NJ, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002751 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Monogram Health Professional Services of Florida LLC | Family | Current | Accepting new patients |
| Harmony Medical Services of New York, PLLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
841 Prudential Dr
Ste 1900
Jacksonville, FL 32207
Phone (904) 427-8453
4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777
841 Prudential Dr
Ste 100
Jacksonville, FL 32207
Phone (904) 633-4110
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610
1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367
5410 Maryland Way
Ste 400
Brentwood, TN 37027
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116
Interoperability endpoints
- elena.parhomchuk.1@22854.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
DC, Family, PA, VA, WV
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
-
- Developmental - Behavioral Pediatrics Physician
- Jacksonville, FL
- NPI 1649430919
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1366092264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "248-266-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 400",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757211",
"telephone_number": "248-266-4200"
}
],
"practiceLocations": [
{
"address_1": "841 Prudential Dr Ste 1900",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078373",
"country_code": "US",
"telephone_number": "904-633-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARHOMCHUK",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002751",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.