Individual provider Active NPI

Elaine Virginia Digrande, MD

  • Dermatology Physician
  • Yonkers, NY
National Provider Identifier
1477531440
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
101620 Issued in NY
Practice address
127 South Broadway
St Josephs Urgi Center
Yonkers, NY 10471
Phone
(914) 376-7767
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 101620 NY Primary
Procedural Dermatology Physician 207NS0135X 101620 NY

Addresses

Primary practice location

127 South Broadway
St Josephs Urgi Center
Yonkers, NY 10471

Mailing address

5380 Arlington Ave
Bronx, NY 10471-2856
Phone (718) 549-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101620NYMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1477531440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 ARLINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712856",
            "telephone_number": "718-549-7286",
            "fax_number": "718-601-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SOUTH BROADWAY",
            "address_2": "ST JOSEPHS URGI CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "914-376-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGRANDE",
        "first_name": "ELAINE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "101620",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "101620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.