Active NPI
Elango Medical PLLC
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1609397041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 266880
- Legal business name
- ELANGO MEDICAL PLLC
- Practice address
- 983 Park Ave Ste 1D
New York, NY 10028-0808 - Phone
- (212) 427-8761
- Fax
- (212) 427-8762
- NPI assigned
- Jul 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peggy Elango
- Title
- Owner
- Phone
- (212) 427-8761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 266880 | NY | Primary |
Addresses
Primary practice location
983 Park Ave Ste 1D
New York, NY 10028-0808
Mailing address
983 Park Ave Ste 1D
New York, NY 10028-0808
Phone (212) 427-8761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1154555787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1609397041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 PARK AVE STE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280808",
"telephone_number": "212-427-8761",
"fax_number": "212-427-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 PARK AVE STE 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280808",
"telephone_number": "212-427-8761",
"fax_number": "212-427-8762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELANGO MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ELANGO",
"authorized_official_first_name": "PEGGY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-427-8761"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "266880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.