Organization Active NPI

Bryan M. Elzholz M.D., P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Ny, NY
National Provider Identifier
1417197476
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.