Active NPI
Paula Miriam Elbirt, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1366588923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 143685
- Practice address
- 312 East 94TH Street
Adolescent Health Center
New York, NY 10128 - Phone
- (212) 423-2900
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 143685 | NY | Primary |
Addresses
Primary practice location
312 East 94TH Street
Adolescent Health Center
New York, NY 10128
Mailing address
164 Columbia HTS
Apt 2
Brooklyn, NY 11201-2134
Phone (917) 743-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143685 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1366588923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 COLUMBIA HTS",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012134",
"telephone_number": "917-743-8300",
"fax_number": "718-855-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 EAST 94TH STREET",
"address_2": "ADOLESCENT HEALTH CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-423-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBIRT",
"first_name": "PAULA",
"middle_name": "MIRIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "143685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.