Active NPI
Bryan M. Elzholz M.D., P.C.
- Pain Medicine (Anesthesiology) Physician
- Ny, NY
National Provider Identifier
1417197476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- BRYAN M. ELZHOLZ M.D., P.C.
- Practice address
- 400 E 71 St
Apt 19 G
Ny, NY 10021-4818 - Phone
- (917) 806-7371
- Fax
- (718) 222-8958
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Matthew Elzholz, M.D.
- Title
- President
- Phone
- (917) 806-7371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
400 E 71 St
Apt 19 G
Ny, NY 10021-4818
Mailing address
400 E 71St St Apt 19G
New York, NY 10021-4818
Phone (917) 806-7371
National Provider Directory
National Provider DirectoryLocations
1991 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 200-0025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1417197476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 71ST ST APT 19G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214818",
"telephone_number": "917-806-7371",
"fax_number": "718-222-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 71 ST",
"address_2": "APT 19 G",
"city": "NY",
"state": "NY",
"postal_code": "100214818",
"telephone_number": "917-806-7371",
"fax_number": "718-222-8958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN M. ELZHOLZ M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "ELZHOLZ",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-806-7371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.