Yelizaveta V Adamova, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4170 City Ave
Philadelphia, PA 19131-1610

Phone

(212) 590-3300

NPI assigned

Mar 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth V Adamov Other name

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Physical Medicine and Rehabilitation

Education

Philadelphia College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DrrubinllcGroup PAC ID 7719392570, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
• Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
• Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092
• St Mary Rehabilitation Hospital Inpatient rehabilitation facility, Langhorne, PA, CCN 393055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yadamova2752880@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drrubinllc

  • Rehabilitation Clinic/Center
  • Langhorne, PA
  • NPI 1346830908
  Medicare reassignment Care Compare group NPD Authorized official
• Kessler Professional Services LLC

  • Specialist
  • West Orange, NJ
  • NPI 1508804048
  Medicare reassignment NPD
• St Mary Rehabilitation Hospital LLP

  dba St Mary Rehabilitation Hospital

  • Rehabilitation Hospital
  • Langhorne, PA
  • NPI 1083041776
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Health - Northeast

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1801963343
  Care Compare affiliation Name & address match
• St Mary Medical Center

  • General Acute Care Hospital
  • Langhorne, PA
  • NPI 1780686931
  Care Compare affiliation
• St Mary Rehabilitation Hospital LLP

  dba St Mary Rehabilitation Hospital

  • Rehabilitation Hospital
  • Langhorne, PA
  • NPI 1083041776

  Inpatient rehabilitation facility

  Care Compare affiliation
• Capital Health System Inc

  dba Regional Medical Center

  • General Acute Care Hospital
  • Trenton, NJ
  • NPI 1275583726
  Care Compare affiliation

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1548535628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 1ST AVE",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021293109",
            "telephone_number": "617-952-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311610",
            "telephone_number": "212-590-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOVA",
        "first_name": "YELIZAVETA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ADAMOV",
            "middle_name": "V",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ava Adames
• William Noel Adamiak
• Joseph Adamitis, DPM
• Robert Deciucis Adamo, M.D.
• Elena Adamov, MD
• Adams Dental
• Alisha Beth Adams
• Amanda Adams, LPC
• Anastasia Adams
• Barry Warren Adams, MSW

• Student in an Organized Health Care Education/Training Program in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.