Active NPI
Andrew Elimian, M.D.
- Maternal & Fetal Medicine Physician
- Hawthorne, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 189811
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01739940 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189811 | NY | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Health Medical, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Obstetrics & Gynecology | Current | Accepting new patients |
| Westchester Health Medical, P.C. | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | 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
- aelimian66835@northwell.direct-ci.com
- 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.
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Allergy & Immunology Physician
- Katonah, NY
- NPI 1386188647
Obstetrics & Gynecology
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
Obstetrics & Gynecology
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Obstetrics & Gynecology Physician
- Elmhurst, NY
- NPI 1578817540
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Durable Medical Equipment & Medical Supplies
- Mount Kisco, NY
- NPI 1598203911
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.