Eliza Nyla Wilfred, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD065949L Issued in PA

Practice address

931 Charter Cir
Elkins Park, PA 19027-1614

Phone

(215) 831-2913

Fax

(215) 831-2929

NPI assigned

Oct 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empowerment Resource Associates, Inc.Group PAC ID 5395747364, 2 clinicians

Northeast Community Center for Mental Health-Mental Retardation IGroup PAC ID 9931195450, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Empowerment Resource Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1992889562
  Medicare reassignment Care Compare group NPD
• Northeast Community Center for Mental Health-Mental Retardation I

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1306907704
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588748263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHARTER CIR",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271614",
            "telephone_number": "215-831-2913",
            "fax_number": "215-831-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 CHARTER CIR",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271614",
            "telephone_number": "215-831-2913",
            "fax_number": "215-831-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFRED",
        "first_name": "ELIZA",
        "middle_name": "NYLA",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD065949L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017706160009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Weinstein, DMD
• Jeanette Weiss, M.A., M.ED.
• Wellzone at Home LLC.
• Wellzone at Home Two LLC
• Sandra T West, O.D.
• Paya Williams
• Siani Williams, LBS
• Vickee Lynn Williams, LPC
• Dalisa N. Wilson, MA CCC-SLP
• Stephanie Jean Wingate-Gardner, PH.D.

• Psychiatry Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.