Active NPI
Elizabeth Eapen, M.D.
- Anatomic Pathology Physician
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 25MA07780200
- Practice address
- 223 North Van Dien Avenue
Department of Pathology
Ridgewood, NJ 07450-2736 - Phone
- (201) 447-8242
- NPI assigned
- Jul 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 25MA07780200 | NJ | Primary |
Addresses
Primary practice location
223 North Van Dien Avenue
Department of Pathology
Ridgewood, NJ 07450-2736
Mailing address
12 Pharis PL
Upper Saddle River, NJ 07458-1408
Phone (201) 825-0883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8242
Hospital & facility affiliations
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.33 of 100
- Quality
- 66.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07780200 | NJ | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Saint Lukes Roosevelt Hospital - Pathology Dept | Past | Accepting new patients | |
| Ac Rao PC | Past | Accepting new patients | |
| Gastrointestinal Associates of Rockland, PC | Past | Accepting new patients | |
| Beth Israel Medical Center | Past | Accepting new patients | |
| University Pathology, P.C. | Past | Accepting new patients | |
| Advantage Foot Care Associates, P.C. | Past | Accepting new patients | |
| Gastrointestinal Care of Long Island PLLC | Past | Accepting new patients | |
| Medical Associates of Englewood, PC | Past | Accepting new patients |
Locations
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
49 Route 347
Port Jefferson Station, NY 11776
Phone (631) 751-0000
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
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.
-
- Specialist
- Ridgewood, NJ
- NPI 1881768448
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Surgery Physician
- Brooklyn, NY
- NPI 1306999792
-
- Primary Podiatric Medicine Podiatrist
- Ebensburg, PA
- NPI 1396749115
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1346256674
-
- Gastroenterology Physician
- New City, NY
- NPI 1598969008
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1801802137
-
- Specialist
- Valhalla, NY
- NPI 1952401820
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407855216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PHARIS PL",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581408",
"telephone_number": "201-825-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 NORTH VAN DIEN AVENUE",
"address_2": "DEPARTMENT OF PATHOLOGY",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502736",
"telephone_number": "201-447-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAPEN",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NJ",
"license": "25MA07780200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.