814 Undercliff Medical PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

814 UNDERCLIFF MEDICAL PC

Practice address

814 Undercliff Ave
Edgewater, NJ 07020-1521

Phone

(973) 954-4055

NPI assigned

Jun 14, 2022

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ilana Etelzon, MDNPI 1730471814

Title

President

Phone

(646) 644-2481

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Practitioners 5

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.

• Ilana Etelzon, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1730471814

  NJ, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Esther Malka Goldenberg, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1134949886

  NJ

  Medicare reassignment Care Compare group NPD
• Alexandra Defrance, PA-C

  • Physician Assistant
  • Clifton, NJ
  • NPI 1144951492

  NY

  Medicare reassignment Care Compare group
• Shilpa Thomas

  • Acute Care Nurse Practitioner
  • Staten Island, NY
  • NPI 1063027365

  NJ

  Medicare reassignment NPD
• Alisa Linkova, FNP-BC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1033863998
  Care Compare group NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1598495442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 UNDERCLIFF AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201521",
            "telephone_number": "646-644-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 UNDERCLIFF AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201521",
            "telephone_number": "973-954-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "814 UNDERCLIFF MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "ETELZON",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-644-2481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 11 11 Consulting Services Inc (Steven Bernstein DPM)
• 11/11 Consulting Services, Inc.
• 968 River Road Radiology
• A Life Without Pain NJ PC
• A&B Dietetics
• Aap Medical Consulting LLC
• Samir Isa Abdelhadi, DO

• Pain Medicine Physician in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.