Individual provider Active NPI

Ghita Elmejjati Burdier

  • Pediatrics Physician
  • Long Island City, NY
National Provider Identifier
1801538996
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
338195 Issued in NY
Practice address
220 50TH Ave Ste B
Long Island City, NY 11101-5778
Phone
(929) 233-7920
NPI assigned
Apr 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 338195 NY Primary

Addresses

Primary practice location

220 50TH Ave Ste B
Long Island City, NY 11101-5778

Mailing address

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-6669

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
I20250703002589 NY Practitioner - Pediatric Medicine 9335653138 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2325 31st St
Ste 302
Astoria, NY 11105
Phone (516) 321-3627

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

220 50th Ave
Ste B
Long Island City, NY 11101
Phone (929) 233-7920

220 50th Ave
Long Island City, NY 11101
Phone (718) 349-2133

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: gelmejjati377638@northwell.direct-ci.com
  • Direct secure messaging: ghitaelmejjati@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

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": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1801538996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-493-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 50TH AVE STE B",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015778",
            "telephone_number": "929-233-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMEJJATI BURDIER",
        "first_name": "GHITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "338195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.