Igor Elman Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IGOR ELMAN PHYSICIAN PC

Practice address

7 Medical Park Dr # C
Pomona, NY 10970-3562

Phone

(845) 362-1169

Fax

(845) 362-0111

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Igor Elman, DONPI 1285024026

Title

Physician/Owner

Phone

(917) 607-4265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Igor Elman

  • Internal Medicine Physician
  • New City, NY
  • NPI 1285024026

  NJ

  Medicare reassignment NPD Authorized official
• Charles F Glassman, MD

  • Internal Medicine Physician
  • Upper Saddle River, NJ
  • NPI 1619050994

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1679118392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR # C",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-362-1169",
            "fax_number": "845-362-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR # C",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-362-1169",
            "fax_number": "845-362-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR ELMAN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "ELMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "917-607-4265",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.