Individual provider Active NPI

Elizabeth A Howard, DO

  • Internal Medicine Physician
  • Valatie, NY
National Provider Identifier
1831197441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
189992-1 Issued in NY
Practice address
1301 River St RM 101
Valatie Medical Arts BLDG
Valatie, NY 12184-9696
Phone
(518) 758-6101
Fax
(518) 758-2162
NPI assigned
Jul 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 189992-1 NY Primary

Addresses

Primary practice location

1301 River St RM 101
Valatie Medical Arts BLDG
Valatie, NY 12184-9696

Mailing address

1301 River St RM 101
Valatie Medical Arts BLDG
Valatie, NY 12184-9696
Phone (518) 758-6101

Other identifiers 1

IdentifierTypeStateIssuer
01937677MedicaidNY

Other names 1

  • Elizabeth Edge Former name

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
I20060303000692 NY Practitioner - Internal Medicine 2567478225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers School of Dental Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189992-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Mar 1, 2006 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2006 Accepting new patients

Locations

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

1301 River St
Ste 101
Valatie, NY 12184
Phone (518) 758-6101

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: ehoward98649@albanymed.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831197441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST RM 101",
            "address_2": "VALATIE MEDICAL ARTS BLDG",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849696",
            "telephone_number": "518-758-6101",
            "fax_number": "518-758-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST RM 101",
            "address_2": "VALATIE MEDICAL ARTS BLDG",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849696",
            "telephone_number": "518-758-6101",
            "fax_number": "518-758-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189992-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01937677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EDGE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valatie, NY

Sources for this page

Verify at the official NPI Registry.