Active NPI
Winselsa Elcock, CERTFICATE
- Nutritionist
- New York, NY
National Provider Identifier
1831338086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 9976335
- Practice address
- 1727 Amsterdam Ave
New York, NY 10031-4611 - Phone
- (212) 694-9200
- Fax
- (212) 694-9230
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 9976335 | NY | Primary |
Addresses
Primary practice location
1727 Amsterdam Ave
New York, NY 10031-4611
Mailing address
763 Eastern Pkwy Apt 6E
Brooklyn, NY 11213-3413
Phone (718) 774-7085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9976335 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1831338086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 EASTERN PKWY APT 6E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133413",
"telephone_number": "718-774-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100314611",
"telephone_number": "212-694-9200",
"fax_number": "212-694-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELCOCK",
"first_name": "WINSELSA",
"credential": "CERTFICATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "9976335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.