Yelizaveta Lvovna Novoselsky, MD PEDIATRICIAN

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

169004 Issued in NY

Practice address

370 E 76TH St
Apt C209
New York, NY 10021-2547

Phone

(212) 744-0714

Fax

(212) 744-0714

NPI assigned

Sep 29, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10563/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1366534992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "APT C209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-744-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E 76TH ST",
            "address_2": "APT C209",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212547",
            "telephone_number": "212-744-0714",
            "fax_number": "212-744-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSELSKY",
        "first_name": "YELIZAVETA",
        "middle_name": "LVOVNA",
        "credential": "MD PEDIATRICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "169004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniele P. Novikoff, MA, SLP
• Yuri W Novitsky, MD
• Adriana Cristina Novoa Diaz
• Anna Alexia Novogratz
• Amory Vedran Novoselac, M.D.
• Aleyda Martinez Novotny, LCSW
• Theodore Novotny, CRNA
• Jafar Novruzov, PMHNP-BC
• Polat Novruzov, MD
• Klaudia Maria Nowak-Capobianco

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.