Active NPI
Andrew J Elliott, M.D.
- Orthopaedic Trauma Physician
- New York, NY
National Provider Identifier
1649356486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 202416
- Practice address
- 523 E 72ND St
5TH Floor
New York, NY 10021-4099 - Phone
- (212) 606-1579
- NPI assigned
- Oct 27, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 202416 | NY | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 202416 | NY | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 202416 | NY | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 202416 | NY | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 202416 | NY | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 202416 | NY | |
| Orthopaedic Trauma Physician | 207XX0801X | 202416 | NY | Primary |
Addresses
Primary practice location
523 E 72ND St
5TH Floor
New York, NY 10021-4099
Mailing address
523 E 72ND St
5TH Floor
New York, NY 10021-4099
Phone (212) 606-1579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 23, 2015 through Sep 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202416 | NY | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Orthopaedic Surgery, PC | Foot and Ankle Surgery | Past | Accepting new patients |
| Shelter Rock Orthopedic Group, PC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- New York, NY
- NPI 1104902972
-
- Orthopaedic Surgery Physician
- Manhasset, NY
- NPI 1144468042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649356486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 E 72ND ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "212-606-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 E 72ND ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214099",
"telephone_number": "212-606-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "202416",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NY",
"license": "202416",
"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 Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.