Individual provider Active NPI

Andrew Elimian, M.D.

  • Maternal & Fetal Medicine Physician
  • Hawthorne, NY
National Provider Identifier
1386645315
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
189811 Issued in NY
Practice address
19 Bradhurst Ave
Suite 2700
Hawthorne, NY 10532
Phone
(914) 493-2250
Fax
(914) 493-2060
NPI assigned
Aug 1, 2005
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 189811 NY
Maternal & Fetal Medicine Physician 207VM0101X 189811 NY Primary
Obstetrics Physician 207VX0000X 189811 NY

Addresses

Primary practice location

19 Bradhurst Ave
Suite 2700
Hawthorne, NY 10532

Mailing address

19 Bradhurst Avenue, Suite 3100N
WMC Advanced Physician Services, PC
Hawthorne, NY 10532
Phone (914) 909-9018

Other identifiers 1

IdentifierTypeStateIssuer
01739940MedicaidNY

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
I20051205000511 NY Practitioner - Obstetrics/Gynecology 0547280646 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189811NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. Obstetrics & Gynecology CurrentSince Nov 30, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Nov 30, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jul 6, 2011 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Obstetrics & Gynecology Current Accepting new patients

Locations

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

480 Bedford Rd
#C
Chappaqua, NY 10514

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

105 S Bedford Rd
Ste 305
Mount Kisco, NY 10549
Phone (914) 241-4900

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • Direct secure messaging: aelimian66835@northwell.direct-ci.com
  • Direct secure messaging: andrew.elimianmd.p1@direct.westchesterhealth.nextgenshare.com

Organizations & group practices 7

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": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1386645315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVENUE, SUITE 3100N",
            "address_2": "WMC ADVANCED PHYSICIAN SERVICES, PC",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-909-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "SUITE 2700",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "10532",
            "telephone_number": "914-493-2250",
            "fax_number": "914-493-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIMIAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "189811",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "189811",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "189811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.