Organization Active NPI

Elaine Williams Paulin

  • Podiatrist
  • Bronx, NY
National Provider Identifier
1851363519
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005937 Issued in NY
Legal business name
ELAINE WILLIAMS PAULIN
Practice address
930 Grand Concourse
Bronx, NY 10451
Phone
(718) 537-3392
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elaine Williams Paulin
Title
Self Proprieter
Phone
(718) 537-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X N005937 NY Primary

Addresses

Primary practice location

930 Grand Concourse
Bronx, NY 10451

Mailing address

325 East 7TH St
Brooklyn, NY 11218

Other identifiers 1

IdentifierTypeStateIssuer
02637603MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Elaine Williams Paulin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851363519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 EAST 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-537-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE WILLIAMS PAULIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS PAULIN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "SELF PROPRIETER",
        "authorized_official_telephone_number": "718-537-3392"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02637603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.