Active NPI
Elizabeth Ann Flanagan
- Physician Assistant
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 013490-1
- Practice address
- 196 E Main St
Huntington, NY 11743-2922 - Phone
- (631) 271-8030
- Fax
- (631) 271-8448
- NPI assigned
- Sep 16, 2009
- Last updated
- May 10, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 013490-1 | NY | Primary |
Addresses
Primary practice location
196 E Main St
Huntington, NY 11743-2922
Mailing address
196 E Main St
Huntington, NY 11743-2922
Phone (631) 271-8030
Other practice location 1
8926 Woodyard Rd
Suite 701
Clinton, MD 20735-4220
Phone (301) 856-1682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013490-1 | Other | NY | LICENSE |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013490-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| New York Pain Consultants LLC | Current | Accepting new patients | |
| The Central Orthopedic Group L L P | Current | Accepting new patients | |
| Greater Metropolitan Orthopaedics | Past | Accepting new patients | |
| Anthony Cappellino MD PC | Past | Accepting new patients |
Locations
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
500 W Main St
Ste 116
Babylon, NY 11702
196 E Main St
Huntington, NY 11743
Phone (631) 271-8030
300 Community Dr
Manhasset, NY 11030
651 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8822
Interoperability endpoints
- elizabeth.flanagan@983.chartlogic.direct-ci.com
Organizations & group practices 6
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.
-
- Interventional Pain Medicine Physician
- Babylon, NY
- NPI 1639190630
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Specialist
- Plainview, NY
- NPI 1669694394
-
- Durable Medical Equipment & Medical Supplies
- Massapequa, NY
- NPI 1770117483
-
- Sports Medicine (Family Medicine) Physician
- West Babylon, NY
- NPI 1598954158
-
- Orthopaedic Surgery Physician
- Clinton, MD
- NPI 1205854767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557446400000",
"number": "1417280967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432922",
"telephone_number": "631-271-8030",
"fax_number": "631-271-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 E MAIN ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432922",
"telephone_number": "631-271-8030",
"fax_number": "631-271-8448"
}
],
"practiceLocations": [
{
"address_1": "8926 Woodyard Rd",
"address_2": "Suite 701",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "MD",
"postal_code": "207354220",
"country_code": "US",
"telephone_number": "301-856-1682",
"fax_number": "301-856-0964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLANAGAN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2019-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "013490-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "013490-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
- Christopher Jude Fives, PSY.D.
- FK Speech Language Patholgosy Services (Millennium Childrens Therapy)
- FK Speech Language Pathology Services (Millennium CHildrens Therapy)
- FL Mental Care Corporation
- Carly Loewenstein Flaherty
- Hillary Flanagan, LMT
- Monica M Flanagan, CCC-SLP, TSSLD
- Laurene Mary Fleischer, MD
- Flip the Switch Health & Wellness , LLC
- Ellen M Florentine, MSN,RN,ANP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.