Individual provider Active NPI

Elena Borisovna Stybel, DO

  • Family Medicine Physician
  • Amityville, NY
National Provider Identifier
1477638179
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
224376 Issued in NY
Practice address
100 W Oak St
Amityville, NY 11701-2927
Phone
(631) 264-1800
Fax
(631) 264-1813
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 224376 NY Primary

Addresses

Primary practice location

100 W Oak St
Amityville, NY 11701-2927

Mailing address

100 W Oak St
Amityville, NY 11701-2927
Phone (631) 264-1800

Other identifiers 8

IdentifierTypeStateIssuer
5996897OtherNYGHI
02581428MedicaidNY
ES00263P10OtherNYBLUE CROSS BLUE SHIELD
1780360OtherNYCIGNA
P3072088OtherNYOXFORD
7497491OtherNYUNITED HEALTH CARE
7497491OtherNYAETNA PPO
159265OtherNYVYTRA

Other names 1

  • Ms. Elena Borisovna Stybel Former name

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
I20120425000179 NY Practitioner - Family PracticePractitioner - Internal Medicine 0446411615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7714 Bay Pkwy
Apt 1a
Brooklyn, NY 11214-1535
Phone (718) 837-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224376NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Stybel Medical PC Family Medicine CurrentSince Dec 23, 2022 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • 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.

Hospital & facility affiliations 1

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1477638179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W OAK ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012927",
            "telephone_number": "631-264-1800",
            "fax_number": "631-264-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W OAK ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012927",
            "telephone_number": "631-264-1800",
            "fax_number": "631-264-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STYBEL",
        "first_name": "ELENA",
        "middle_name": "BORISOVNA",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5996897",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581428",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "ES00263P10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1780360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3072088",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7497491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7497491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "159265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "STYBEL",
            "middle_name": "BORISOVNA",
            "prefix": "MS.",
            "credential": "MD/DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.