Active NPI
Elizabeth D Avaricio, M.D.
- Pediatrics Physician
- Ozone Park, NY
National Provider Identifier
1477535300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 222937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02367471 | Medicaid | NY | |
| 125832100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160401000870 | NY | Order and Referring Only - Pediatric Medicine | 6800193038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME171859 | FL | MD | Pediatrics Physician |
| 222937 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Ozone Park, NY
- NPI 1538586458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.