Individual provider Active NPI

Mery Elashvili, M.D.

  • Specialist
  • White Plains, NY
National Provider Identifier
1396756607
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
209281 Issued in NY
Practice address
785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone
(914) 597-2362
Fax
(914) 597-2815
NPI assigned
Aug 11, 2006
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 209281 NY Primary

Addresses

Primary practice location

785 Mamaroneck Ave
White Plains, NY 10605-2523

Mailing address

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (914) 597-2362

Other identifiers 1

IdentifierTypeStateIssuer
01792938MedicaidNY

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
I20041023000145 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative Medicine 9234190190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

66 Colby Dr
Dix Hills, NY 11746-8350
Phone (516) 783-1577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Feb 27, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Feb 27, 2018 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2007 Accepting new patients
Personal Touch Physical Medicine & Rehabilitation LLC CurrentSince Jan 1, 2004 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Oct 1, 2007 Accepting new patients
South Shore Magnetic Resonance Imaging Associates PC Specialist PastSince Aug 13, 2016 Accepting new patients
Bay Park One Medical, PC PastSince Aug 1, 2005 Accepting new patients
RS Neuro Medical, P.C. Specialist PastSince May 1, 2007 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

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

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1396756607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "914-597-2362",
            "fax_number": "914-597-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "914-597-2362",
            "fax_number": "914-597-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASHVILI",
        "first_name": "MERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "209281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01792938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.