Individual provider Active NPI

Elina Burstyn, DO

  • Obstetrics & Gynecology Physician
  • Latham, NY
National Provider Identifier
1437177334
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
226189 Issued in NY
Practice address
711 Troy Schenectady Rd Ste 205
Latham, NY 12110-2461
Phone
(518) 783-7070
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 226189 NY Primary

Addresses

Primary practice location

711 Troy Schenectady Rd Ste 205
Latham, NY 12110-2461

Mailing address

700 McClellan St
Suite 101
Schenectady, NY 12304-1019
Phone (518) 374-9153

Other identifiers 1

IdentifierTypeStateIssuer
02413110MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000559 NY Practitioner - Obstetrics/Gynecology 7012076771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region OB-GYNGroup PAC ID 9335208099, 3 clinicians

Practice addresses (Care Compare)

711 Troy Schenectady Rd
Suite 114
Latham, NY 12110-2454
Phone (518) 783-7070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
226189NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mondragon McGrinder Medical Associates PLLC Obstetrics & Gynecology PastSince Oct 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eburstyn@eburstyn.direct.emds.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1437177334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MCCLELLAN ST",
            "address_2": "SUITE 101",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041019",
            "telephone_number": "518-374-9153",
            "fax_number": "518-370-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 205",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-783-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTYN",
        "first_name": "ELINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "226189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02413110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.