Individual provider Active NPI

Alexander Zev Nelken, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1619142882
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD460204 Issued in PA
Practice address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone
(718) 270-1000
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245108 NY
Anesthesiology Physician 207L00000X MD460204 PA Primary

Addresses

Primary practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

100 North Academy Ave.
Danville, PA 17822-2025
Phone (570) 271-6621

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anelken123129@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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

Enrollment IDStateProvider typePAC IDDetails
I20101008000738 NY Practitioner - Anesthesiology 6204028202 Reassigns benefits to 6 organizations
I20170630000740 PA Practitioner - Anesthesiology 6204028202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Brooklyn Anesthesia PLLCGroup PAC ID 0840519641, 7 clinicians
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians
Randn Anesthesia PLLCGroup PAC ID 2062737794, 32 clinicians

Practice addresses (Care Compare)

1630 E 14TH St
Brooklyn, NY 11229-1104
Phone (646) 452-0802

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

944 N Broadway
Yonkers, NY 10701-1304
Phone (718) 222-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD460204PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2014 Accepting new patients
New York University Anesthesiology Current Accepting new patients
New York University Anesthesiology CurrentSince Dec 30, 2016 Accepting new patients
Centurion Anesthesia Penn LLC Anesthesiology CurrentSince May 3, 2022 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Apr 3, 2018 Accepting new patients
New York University Anesthesiology CurrentSince Dec 30, 2015 Accepting new patients
Mark J Coronel MD PC CurrentSince Mar 1, 2015 Accepting new patients
Centurion Brooklyn Anesthesia PLLC CurrentSince Feb 2, 2022 Accepting new patients
New York University CurrentSince Dec 30, 2015 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology Past Accepting new patients
Peninsula Radiology Associates P C Past Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

1624 E 14th St
Brooklyn, NY 11229
Phone (718) 376-2220

200 Broadway
Ste 3149
Brooklyn, NY 11211

1630 E 14th St
Brooklyn, NY 11229
Phone (516) 612-3722

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145

404 2nd Street Pike
Southampton, PA 18966

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anelken123129@nyumc.direct-ci.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1619142882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 North Academy Ave.",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178222025",
            "country_code": "US",
            "telephone_number": "570-271-6621",
            "fax_number": "570-271-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELKEN",
        "first_name": "ALEXANDER",
        "middle_name": "ZEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "245108",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD460204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anelken123129@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "450 Clarkson Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112032012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.