Individual provider Active NPI

Elias A Socolof, MD

  • Pediatrics Physician
  • Queensbury, NY
National Provider Identifier
1851305676
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
201597 Issued in NY
Practice address
28 S Western Ave
Queensbury, NY 12804-3323
Phone
(518) 798-6400
Fax
(518) 798-4105
NPI assigned
Jul 28, 2006
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 201597 NY Primary

Addresses

Primary practice location

28 S Western Ave
Queensbury, NY 12804-3323

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other identifiers 1

IdentifierTypeStateIssuer
01744967MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address elias.socolof.1@1823.direct.athenahealth.com
Direct Messaging Address elias.socolof@cdirectglensfallshosp.org
Direct Messaging Address elias.socolof.1@1823.direct.athenahealth.com

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
I20100322000741 NY Practitioner - Pediatric Medicine 6507991015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

28 S Western Ave
Queensbury, NY 12804-3323
Phone (518) 798-6400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network CurrentSince Feb 21, 2010 Accepting new patients
Hudson Headwaters Health Network Pediatrics Current Accepting new patients
Glens Falls Hospital Inc. Pediatrics CurrentSince Mar 11, 2017 Accepting new patients
Glens Falls Hospital Inc CurrentSince Mar 11, 2017 Accepting new patients
Hudson Headwaters Health Network Pediatrics CurrentSince Feb 21, 2010 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

100 Broad St
Glens Falls, NY 12801
Phone (518) 792-2223

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

14 Manor Dr
Queensbury, NY 12804
Phone (518) 798-6400

28 S Western Ave
Queensbury, NY 12804
Phone (518) 798-6165

9 Carey Rd
Queensbury, NY 12804

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1851305676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S WESTERN AVE",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043323",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOCOLOF",
        "first_name": "ELIAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "201597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01744967",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elias.socolof.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "28 S Western Ave",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elias.socolof@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elias.socolof.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.