Individual provider Active NPI

Elena I. Raftopol, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
National Provider Identifier
1497838460
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
134044 Issued in NY
Practice address
10 Commerce Dr
New Rochelle, NY 10801-5214
Phone
(914) 637-3510
Fax
(914) 819-0061
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 134044 NY Primary

Addresses

Primary practice location

10 Commerce Dr
New Rochelle, NY 10801-5214

Mailing address

85 Southfield Rd
Mount Vernon, NY 10552-1352
Phone (914) 665-0066

Other identifiers 1

IdentifierTypeStateIssuer
00492484MedicaidNY

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
I20040326001127 NY Practitioner - Anesthesiology 9931091691 Reassigns benefits to 10 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triborough Gi PLLC CurrentSince Nov 1, 2022 Accepting new patients
Anesthesiology Consultant of Brooklyn, P.C. CurrentSince Dec 1, 2018 Accepting new patients
Ae&Ly Ambulatory Endoscopy PLLC CurrentSince May 15, 2019 Accepting new patients
Synergy Endoscopy Medicine PLLC CurrentSince May 26, 2024 Accepting new patients
Queens Endoscopy ASC, LLC CurrentSince Jul 1, 2016 Accepting new patients
Sanford Endoscopy PLLC CurrentSince Nov 1, 2021 Accepting new patients
Digestive Disease Care, PC CurrentSince Oct 1, 2015 Accepting new patients
Triborough Gi PLLC CurrentSince Nov 1, 2022 Accepting new patients
South Island Gastroenterology Associates PC CurrentSince Jun 1, 2022 Accepting new patients
Park Avenue Gastroenterology & Digestive Health, PLLC Anesthesiology CurrentSince Nov 16, 2021 Accepting new patients
Eliot Zimbalist MD PC PastSince Jun 28, 1999 Accepting new patients
Jackson H. Kuan M.D. LLC Past Accepting new patients
77TH St-5TH Ave Medical, P.C. Anesthesiology PastSince Jun 11, 2012 Accepting new patients
Long Island Gastroenterology Group P C Anesthesiology PastSince May 8, 2007 Accepting new patients
P.D. Gastroenterology, P.C. PastSince Nov 16, 2021 Accepting new patients

Locations

1672 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (718) 795-2734

983 51st St
Brooklyn, NY 11219
Phone (718) 435-4944

4161 Kissena Blvd
Ste 3
Flushing, NY 11355

4161 Kissena Blvd
Ste D
Flushing, NY 11355
Phone (718) 359-2827

13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779

13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262

13602 Roosevelt Ave
Bsmt
Flushing, NY 11354
Phone (718) 886-6648

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

755 Park Ave
Ste 200
Huntington, NY 11743
Phone (516) 433-3200

141 Washington Ave
Ste 204
Lawrence, NY 11559
Phone (516) 341-0990

1991 Marcus Ave
Ste M202
New Hyde Park, NY 11042
Phone (516) 204-4242

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJGCDA

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1497838460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTHFIELD RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521352",
            "telephone_number": "914-665-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015214",
            "telephone_number": "914-637-3510",
            "fax_number": "914-819-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFTOPOL",
        "first_name": "ELENA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "134044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00492484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.