Individual provider Active NPI

Elizabeth Erin Schepker, M.D.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1700107554
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270094 Issued in NY
Practice address
165 Smith St
Brooklyn, NY 11201
Phone
(212) 441-4380
Fax
(415) 252-7176
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 290260 MA
Family Medicine Physician 207Q00000X 2021-02681 NC
Family Medicine Physician 207Q00000X V3100 TX
Family Medicine Physician 207Q00000X 270094 NY Primary

Addresses

Primary practice location

165 Smith St
Brooklyn, NY 11201

Mailing address

129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791

Other practice location 1

317 E 34th St
7th Floor
New York, NY 10016-4974
Phone (212) 726-7460

Other practice location 2

317 E 34th St
7th Floor
New York, NY 10016-4974
Phone (212) 726-7460

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225000435 NY Practitioner - Family Practice 5193955870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 0648408575, 29 clinicians

Practice addresses (Care Compare)

165 Smith St
Brooklyn, NY 11201-6337
Phone (212) 441-4380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290260MAMDFamily Medicine Physician
2021-02681NCMDFamily Medicine Physician
270094NYMDFamily Medicine Physician
V3100TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical of Ny, P.C. Family Medicine CurrentSince Jan 11, 2026 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jan 1, 2019 Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

317 E 34th St
Fl 7
New York, NY 10016
Phone (212) 726-7400

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

317 E 34th St
Fl 9
New York, NY 10016
Phone (212) 726-7400

Philadelphia, PA 19195

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.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1700107554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 29TH ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015105",
            "telephone_number": "415-658-6791",
            "fax_number": "415-520-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "212-441-4380",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E 34th St",
            "address_2": "7th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164974",
            "country_code": "US",
            "telephone_number": "212-726-7460",
            "fax_number": "212-209-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E 34th St",
            "address_2": "7th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164974",
            "country_code": "US",
            "telephone_number": "212-726-7460",
            "fax_number": "212-209-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEPKER",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "290260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-02681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.