Active NPI
Eloise Davis Austin
- Infectious Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 270846
- Practice address
- 177 Fort Washington Ave
New York, NY 10032-3733 - Phone
- (212) 305-8039
- Fax
- (212) 305-1754
- NPI assigned
- Apr 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 270846 | NY | |
| Infectious Disease Physician | 207RI0200X | 270846 | NY | Primary |
Addresses
Primary practice location
177 Fort Washington Ave
New York, NY 10032-3733
Mailing address
630 W 168TH St # 4
New York, NY 10032-3725
Phone (212) 305-8039
Other practice location 1
180 Fort Washington Ave
New York, NY 10032-3722
Phone (212) 305-8039
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270846 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Internal Medicine | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients |
Locations
180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535
177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
Internal Medicine
-
- Anesthesiology Physician
- New York, NY
- NPI 1477068971
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Internal Medicine
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699091561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W 168TH ST # 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323725",
"telephone_number": "212-305-8039",
"fax_number": "212-305-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323733",
"telephone_number": "212-305-8039",
"fax_number": "212-305-1754"
}
],
"practiceLocations": [
{
"address_1": "180 Fort Washington Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323722",
"country_code": "US",
"telephone_number": "212-305-8039",
"fax_number": "212-305-1754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "ELOISE",
"middle_name": "DAVIS",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "270846",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "270846",
"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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.