Active NPI
Audrey Zelicof Paul, MD PHD
- Pediatrics Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME151077
- Practice address
- 1105 S Fort Harrison Ave
Clearwater, FL 33756-3907 - Phone
- (727) 303-3117
- Fax
- (727) 335-4430
- NPI assigned
- Jul 28, 2006
- Last updated
- Jun 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME151077 | FL | Primary |
Addresses
Primary practice location
1105 S Fort Harrison Ave
Clearwater, FL 33756-3907
Mailing address
1822 Drew St Ste 101
Clearwater, FL 33765-2921
Other names 1
- Audrey Zelicof
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211312 | NY | MD | Pediatrics Physician |
| ME151077 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Pediatrics | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Privia Medical Group Florida, LLC | Past | Accepting new patients | |
| Blue Wave Medical Associates, LLC | Family Medicine | Past | Accepting new patients |
| Mount Sinai School of Medicine | Past | Accepting new patients |
Locations
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
Interoperability endpoints
- apaul294993@nyumc.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Pediatrics Physician
- Clearwater, FL
- NPI 1760167233
Family Medicine
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba FPA Hospital Based MSMC Emergency Physicians
- Emergency Medicine Physician
- New York, NY
- NPI 1427398676
-
dba Mount Sinai Dermatopathology Services III
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Emergency Medicine Physician
- New York, NY
- NPI 1891757340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1699789255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 DREW ST STE 101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 S FORT HARRISON AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563907",
"telephone_number": "727-303-3117",
"fax_number": "727-335-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "AUDREY",
"middle_name": "ZELICOF",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME151077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "ZELICOF",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clearwater, FL
- Marissa Kyne Patterson
- Richard Carlyle Patton, RPH
- Diona Dominga Pauig-Breese, LMHC
- Paul Denker PA MD Face
- Paul Kanach DMD PA
- Marshall Paul
- Brian Paulson, LMHC, PH.D.
- Pautler Cohen Findlay Eichenbaum White and Crane MDS PA (Retina Vitreous Associates of FL)
- Amanda Pawlik, D.P.T.
- Christopher S Payne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.