Individual provider Active NPI

Elizabeth Ann Fernandez, M.D.

  • Emergency Medicine Physician
  • Yonkers, NY
National Provider Identifier
1760635981
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
264136 Issued in NY
Practice address
967 N Broadway
Yonkers, NY 10701
Phone
(914) 798-8884
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 264136 NY Primary

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701

Mailing address

967 N Broadway
Dept of Emergency Medicine
Yonkers, NY 10701-1301
Phone (914) 964-4349

Other practice location 1

27005 76th Ave
Dept of Emergency Medicine
New Hyde Park, NY 11040-1402
Phone (610) 745-4905

Other practice location 2

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (914) 693-5187

Other names 1

  • Elizabeth Ann Brothers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120815000453 NY Practitioner - Emergency Medicine 3274789789 Reassigns benefits to 5 organizations
I20260617002343 NJ Practitioner - Emergency Medicine 3274789789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians
Dobbs Ferry Emergency Medicine, PCGroup PAC ID 8022908268, 39 clinicians
Skilled Facility Health Care Solutions IncGroup PAC ID 9032299144, 60 clinicians

Practice addresses (Care Compare)

Bronx, NY 10465
Phone (310) 445-5999

128 Ashford Ave
Dobbs Ferry, NY 10522-1924
Phone (914) 964-4370

99 Washington Ave
Suite 805a
Albany, NY 12210-2804
Phone (310) 445-5999

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1659
Removal of skin lesions26
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jan 1, 2023 Accepting new patients
Dobbs Ferry Emergency Medicine, PC Emergency Medicine CurrentSince Jan 15, 2015 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Aug 13, 2012 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

99 Washington Ave
Ste 805A
Albany, NY 12210
Phone 3104455999 ext. 215

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1760635981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-798-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_2": "Dept of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "610-745-4905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Ashford Ave",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221924",
            "country_code": "US",
            "telephone_number": "914-693-5187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "264136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BROTHERS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.