Organization Active NPI

Alexander S Elfenbein Physician PC

  • Cardiovascular Disease Physician
  • Valley Stream, NY
National Provider Identifier
1801968912
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1637251 Issued in NY
Legal business name
ALEXANDER S ELFENBEIN PHYSICIAN PC
Practice address
40 East Merrick Road
Ste 104
Valley Stream, NY 11580-5947
Phone
(516) 568-2121
Fax
(516) 568-0426
NPI assigned
Nov 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Alexander S. Elfenbein, MD
Title
Owner
Phone
(516) 568-2121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1637251 NY
Cardiovascular Disease Physician 207RC0000X 1637251 NY Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 1637251 NY

Addresses

Primary practice location

40 East Merrick Road
Ste 104
Valley Stream, NY 11580-5947

Mailing address

40 East Merrick Road
Ste 104
Valley Stream, NY 11580-5947
Phone (516) 568-2121

Other identifiers 1

IdentifierTypeStateIssuer
01063809MedicaidNY

National Provider Directory

National Provider Directory

Locations

40 E Merrick Rd
Ste 104
Valley Stream, NY 11580
Phone (516) 218-2222

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801968912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 EAST MERRICK ROAD",
            "address_2": "STE 104",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805947",
            "telephone_number": "516-568-2121",
            "fax_number": "516-568-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EAST MERRICK ROAD",
            "address_2": "STE 104",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805947",
            "telephone_number": "516-568-2121",
            "fax_number": "516-568-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER S ELFENBEIN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-568-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1637251",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1637251",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "1637251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.