Active NPI
Elaine Williams Paulin
- Podiatrist
- Bronx, NY
National Provider Identifier
1851363519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N005937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02637603 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Elaine Williams Paulin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Brooklyn, NY
- NPI 1699830380
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.