Organization Active NPI

Elizabeth D. Avaricio, MD, PLLC

  • Pediatrics Physician
  • Ozone Park, NY
National Provider Identifier
1538586458
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ELIZABETH D. AVARICIO, MD, PLLC
Practice address
9511 101St Ave
Ozone Park, NY 11416-2500
Phone
(718) 848-1806
Fax
(718) 848-0569
NPI assigned
Mar 28, 2014
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Elizabeth D Avaricio, MDNPI 1477535300
Title
Medical Doctor
Phone
(546) 591-4717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

9511 101St Ave
Ozone Park, NY 11416-2500

Mailing address

9511 101St Ave
Ozone Park, NY 11416-2500
Phone (718) 848-1806

Other identifiers 1

IdentifierTypeStateIssuer
02367471MedicaidNY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1538586458",
    "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": "718-848-1806",
            "fax_number": "718-848-0569"
        },
        {
            "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": "718-848-1806",
            "fax_number": "718-848-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH D. AVARICIO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "AVARICIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "546-591-4717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02367471",
            "state": "NY"
        }
    ],
    "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 Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.