Individual provider Active NPI

Elizabeth D Avaricio, M.D.

  • Pediatrics Physician
  • Ozone Park, NY
National Provider Identifier
1477535300
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
222937 Issued in NY
Practice address
9511 101St Ave
Ozone Park, NY 11416-2500
Phone
(718) 848-1171
Fax
(718) 323-0032
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 222937 NY Primary
Pediatrics Physician 208000000X ME171859 FL

Addresses

Primary practice location

9511 101St Ave
Ozone Park, NY 11416-2500

Mailing address

9511 101St Ave
Ozone Park, NY 11416-2500
Phone (718) 848-1171

Other practice location 1

2233 Park Ave Ste 201
Orange Park, FL 32073-5567
Phone (646) 270-1967

Other identifiers 2

IdentifierTypeStateIssuer
02367471MedicaidNY
125832100MedicaidFL

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
I20160401000870 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6800193038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME171859FLMDPediatrics Physician
222937NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth D. Avaricio, MD, PLLC Pediatrics Current Accepting new patients

Locations

9511 101st Ave
Ozone Park, NY 11416
Phone (718) 360-5060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1477535300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-848-1171",
            "fax_number": "718-323-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162500",
            "telephone_number": "718-848-1171",
            "fax_number": "718-323-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 Park Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735567",
            "country_code": "US",
            "telephone_number": "646-270-1967",
            "fax_number": "718-845-8586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVARICIO",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "222937",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME171859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367471",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125832100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.