Active NPI
Elena Maria Ortiz, PA C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9109467
- Practice address
- 418-420 5TH Avenue
Brooklyn, NY 11215 - Phone
- (718) 965-2273
- NPI assigned
- May 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9109467 | FL | Primary |
| Physician Assistant | 363A00000X | PA14129 | CA | |
| Physician Assistant | 363A00000X | 003825 | NY |
Addresses
Primary practice location
418-420 5TH Avenue
Brooklyn, NY 11215
Mailing address
1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 W Orange Blossom Trail
Adventhealth Centra Care Apopka
Apopka, FL 32712-2639
Phone (407) 703-4662
250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810
3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186
440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000
4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412
8201 W Irlo Bronson Hwy
Adventhealth Centra Care Orange Lake
Kissimmee, FL 34747-8202
Phone (407) 465-0846
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14129 | CA | MD | Physician Assistant |
| 9109467 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System/ Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Adventist Health System/Sunbelt, Inc. | Physician Assistant | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Physician Assistant | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Physician Assistant | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Past | Accepting new patients |
Locations
440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000
105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362
2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353
4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650
Interoperability endpoints
- eortiz222833@adventhealth.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1073565610
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Physician Assistant
-
- Urgent Care Clinic/Center
- Riverview, FL
- NPI 1942603519
Physician Assistant
-
- Urgent Care Clinic/Center
- Cocoa Beach, FL
- NPI 1083246334
Physician Assistant
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Physician Assistant
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1609148733
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1396790523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ FL 13",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-453-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418-420 5TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-965-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ELENA",
"middle_name": "MARIA",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9109467",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14129",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003825",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.