Active NPI
Elpidio Jimenez, MD
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 181405
- Practice address
- 1St Ave & E 16TH Street
New York, NY 10003 - Phone
- (212) 420-2124
- Fax
- (212) 844-1945
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 181405 | NY | Primary |
Addresses
Primary practice location
1St Ave & E 16TH Street
New York, NY 10003
Mailing address
1900 Hempstead Tpke
Suite 500
East Meadow, NY 11554-1724
Phone (516) 542-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 E Main St
Port Jervis, NY 12771-2253
Phone (201) 661-7280
1980 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (201) 661-7280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Orange Pathology Associates, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Beth Israel Medical Center | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Long Island College Hosp | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Long Island College Hospital | Past | Accepting new patients | |
| State of New York | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
535 E Crescent Ave
Ramsey, NJ 07446
Phone (201) 447-2020
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
Interoperability endpoints
- edj9020@direct.weillcornell.org
- ejimenez@premiermedicalhv.medentdirect.com
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Suffern, NY
- NPI 1053355248
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Clinical Pathology/Laboratory Medicine Physician
- Brooklyn, NY
- NPI 1114981248
Anatomic Pathology & Clinical Pathology
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
- NPI 1346256674
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1417019217
-
- Anatomic Pathology & Clinical Pathology Physician
- Brooklyn, NY
- NPI 1639477979
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1649279712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 HEMPSTEAD TPKE",
"address_2": "SUITE 500",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541724",
"telephone_number": "516-542-1090",
"fax_number": "516-794-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1ST AVE & E 16TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "212-420-2124",
"fax_number": "212-844-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "ELPIDIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "181405",
"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 Dec 3, 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.