Yehuda David Eliezri, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

154268 Issued in NY

Practice address

7 Medical Park Dr
Pomona, NY 10970-3562

Phone

(845) 354-1169

Fax

(845) 362-5126

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Yehuda D. Eliezri, M.D. P.C.

  • Procedural Dermatology Physician
  • Pomona, NY
  • NPI 1326077538
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1801837240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703562",
            "telephone_number": "845-354-1169",
            "fax_number": "845-362-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEZRI",
        "first_name": "YEHUDA",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "154268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "1164509246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1164509246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dunnett-Berke, LCSW
• Sylvestre Duplan
• Mona Lynn Dworkin, M.A.
• Early Impact Therapy LLC
• Rachel S Eisenberger, MA-SLP-CFY
• Johnice Toni Ellison, RN
• Encore Physical Therapy PC
• Endocrine Associates of Rockland, LLP
• Iris R Epstein, R.D.CDN
• Eric Goldman, DC PC

• Procedural Dermatology Physician in Pomona, NY
• Providers in Pomona, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.