Individual provider Active NPI

Elena Volfson, MD,MPH

  • Psychiatry Physician
  • New Brunswick, NJ
National Provider Identifier
1497710404
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07942000 Issued in NJ
Practice address
317 George St
Suite 105
New Brunswick, NJ 08901-2008
Phone
(732) 235-4341
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50386 AZ
Psychiatry Physician 2084P0800X 25MA07942000 NJ Primary

Addresses

Primary practice location

317 George St
Suite 105
New Brunswick, NJ 08901-2008

Mailing address

26110 Cherry Blossom CT
Lawrenceville, NJ 08648-1281
Phone (609) 799-8545

Other practice location 1

4862 E Baseline Rd Ste 108
Mesa, AZ 85206-4668
Phone (480) 981-2405

Other practice location 2

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8297

Other names 1

  • Dr. Elena Doubova Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211000738 AZ Practitioner - Psychiatry 7719904564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50386AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Hospital, Inc. Psychiatry Past Accepting new patients
Meadows Outpatient Centers, LLC Past Accepting new patients
East Mountain Hospital Inc Past Accepting new patients

Organizations & group practices 4

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1497710404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26110 CHERRY BLOSSOM CT",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481281",
            "telephone_number": "609-799-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST",
            "address_2": "SUITE 105",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012008",
            "telephone_number": "732-235-4341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4862 E Baseline Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064668",
            "country_code": "US",
            "telephone_number": "480-981-2405",
            "fax_number": "480-981-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595452",
            "country_code": "US",
            "telephone_number": "480-301-8297",
            "fax_number": "480-301-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLFSON",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "50386",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07942000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "DOUBOVA",
            "prefix": "DR.",
            "credential": "MD,MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.