Active NPI
Elliot M Gitlitz, DPM
- Podiatrist
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003465
- Practice address
- 3175 23Rd St
Astoria, NY 11106-4134 - Phone
- (718) 956-2200
- Fax
- (718) 956-2316
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003465 | NY | Primary |
Addresses
Primary practice location
3175 23Rd St
Astoria, NY 11106-4134
Mailing address
55 Water St
2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
88-06 55th Ave
Elmhurst, NY 11373-4437
Phone (718) 271-9730
Other practice location 2
86-15 Queens Blvd
Elmhurst, NY 11373-4427
Phone (718) 899-6600
Other practice location 3
169-59 137th Ave
Rochdale, NY 11434-4517
Phone (718) 525-5600
Other practice location 4
140-15 Sanford Ave
Flushing, NY 11355-2686
Phone (718) 826-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P39163 | Other | NY | EMPIRE BLUE CROSS/BLUE SH |
| 00821958 | Medicaid | NY | |
| 57006A | Other | NY | GHI PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003465 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoflex Physical Therapy & Rehabilitation, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Howard Beach, NY
- NPI 1255519856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1720078413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST",
"address_2": "2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 23RD ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111064134",
"telephone_number": "718-956-2200",
"fax_number": "718-956-2316"
}
],
"practiceLocations": [
{
"address_1": "88-06 55th Ave",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113734437",
"country_code": "US",
"telephone_number": "718-271-9730",
"fax_number": "718-760-6525",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86-15 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113734427",
"country_code": "US",
"telephone_number": "718-899-6600",
"fax_number": "718-606-3881",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169-59 137th Ave",
"address_purpose": "LOCATION",
"city": "Rochdale",
"state": "NY",
"postal_code": "114344517",
"country_code": "US",
"telephone_number": "718-525-5600",
"fax_number": "718-559-5285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140-15 Sanford Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113552686",
"country_code": "US",
"telephone_number": "718-826-4000",
"fax_number": "718-826-4075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GITLITZ",
"first_name": "ELLIOT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS/BLUE SH",
"identifier": "P39163",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00821958",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER ID",
"identifier": "57006A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.