NPIMap

Organization Active NPI

Elim Healthcare Services, P.T.P.C.

  • Physical Therapy Clinic/Center
  • Hollis, NY
National Provider Identifier
1730194549
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
014849-1 Issued in NY
Legal business name
ELIM HEALTHCARE SERVICES, P.T.P.C.
Practice address
19621 Hillside Ave
Hollis, NY 11423-2124
Phone
(718) 776-3129
Fax
(718) 776-3224
NPI assigned
Jul 30, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Mr. Durojaiye Shadrach Ojetayo, P.T.NPI 1215956339
Title
President
Phone
(718) 776-3129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 014849-1 NY
Physical Therapy Clinic/Center 261QP2000X 014849-1 NY Primary

Addresses

Primary practice location

19621 Hillside Ave
Hollis, NY 11423-2124

Mailing address

787 N Ascan St
Elmont, NY 11003-4621
Phone (516) 561-3922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1730194549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 N ASCAN ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034621",
            "telephone_number": "516-561-3922",
            "fax_number": "718-776-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19621 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232124",
            "telephone_number": "718-776-3129",
            "fax_number": "718-776-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIM HEALTHCARE SERVICES, P.T.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "OJETAYO",
        "authorized_official_first_name": "DUROJAIYE",
        "authorized_official_middle_name": "SHADRACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-776-3129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "014849-1",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "014849-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.