Individual provider Active NPI

Elaine R. Williams, D.P.M.

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1710959945
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005937 Issued in NY
Practice address
800 Grand Concourse
Bronx, NY 10451-3003
Phone
(718) 644-2495
Fax
(347) 329-0688
NPI assigned
Feb 2, 2006
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005937 NY Primary

Addresses

Primary practice location

800 Grand Concourse
Bronx, NY 10451-3003

Mailing address

255 Alpine Rd
Henryville, PA 18332-7103
Phone (718) 644-2495

Other identifiers 1

IdentifierTypeStateIssuer
02637603MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000629 NY Practitioner - Podiatry 4082606561 Reassigns benefits to 6 organizations
Practice locations: Bronx, NY; Monroe, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellcare of BX Medical PCGroup PAC ID 5890040166, 5 clinicians
Medalliance Medical Health Services IncGroup PAC ID 4789633678, 19 clinicians

Practice addresses (Care Compare)

2336 Grand Concourse
Bronx, NY 10458-6903
Phone (718) 220-0439

625 E Fordham Rd
Bronx, NY 10458-5049
Phone (718) 933-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue88
Removal or shaving of skin growth81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005937NYMDAcupuncturist
N005937NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Healthcare Management Inc. Podiatrist CurrentSince May 1, 2014 Accepting new patients
Foot Forward Podiatry PC Podiatrist CurrentSince Jan 1, 2022 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jun 1, 2023 Accepting new patients
Uptown Healthcare Management, Inc. CurrentSince Aug 7, 2018 Accepting new patients
Josh C Ehrlich DPM PC CurrentSince Sep 25, 2020 Accepting new patients
Comprehensive Family Foot Care PLLC Podiatrist PastSince Jul 20, 2001 Accepting new patients

Locations

149 Ballston Ave
Ballston Spa, NY 12020
Phone (518) 885-2288

1778 Jerome Ave
Bronx, NY 10453
Phone (718) 583-3300

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

930 E Tremont Ave
Bronx, NY 10460
Phone (718) 764-1660

930 E Tremont Ave
Fl 3
Bronx, NY 10460
Phone (718) 620-6068

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

15 Canal Rd
Pelham, NY 10803
Phone (646) 362-4601

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1710959945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ALPINE RD",
            "city": "HENRYVILLE",
            "state": "PA",
            "postal_code": "183327103",
            "telephone_number": "718-644-2495",
            "fax_number": "347-329-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104513003",
            "telephone_number": "718-644-2495",
            "fax_number": "347-329-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELAINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.