Organization Active NPI

Elaine Williams Pauline MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1699830380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N005937 Issued in NY
Legal business name
ELAINE WILLIAMS PAULINE MD
Practice address
325 E 7TH St
Brooklyn, NY 11218-3313
Phone
(718) 644-2495
NPI assigned
Dec 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elaine Pauline
Title
Sole Proprietor
Phone
(718) 644-2495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X N005937 NY Primary

Addresses

Primary practice location

325 E 7TH St
Brooklyn, NY 11218-3313

Mailing address

325 E 7TH St
Brooklyn, NY 11218-3313
Phone (718) 644-2495

Other identifiers 1

IdentifierTypeStateIssuer
02637603MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Elaine Williams Paulin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699830380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183313",
            "telephone_number": "718-644-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183313",
            "telephone_number": "718-644-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE WILLIAMS PAULINE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULINE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-644-2495"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "N005937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.