Individual provider Active NPI

Elizabett Rafailova-Sliozberg, NP

  • Gerontology Nurse Practitioner
  • Yardley, PA
National Provider Identifier
1851869630
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP019471 Issued in PA
Practice address
777 Township Line Rd
Yardley, PA 19067-5552
Phone
(215) 860-0775
Fax
(215) 860-7754
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP019471 PA Primary

Addresses

Primary practice location

777 Township Line Rd
Yardley, PA 19067-5552

Mailing address

777 Township Line Rd
Yardley, PA 19067-5552
Phone (215) 860-0775

Other identifiers 1

IdentifierTypeStateIssuer
SP019471OtherPANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000209 PA Practitioner - Nurse Practitioner 3173860335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

777 Township Line Rd
FL 1
Yardley, PA 19067-5552
Phone (215) 860-0775

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019471PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Mar 21, 2022 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Feasterville Family Practice, LLP CurrentSince Dec 3, 2018 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Mar 21, 2022 Accepting new patients
Saratoga Regional Medical , P.C Past Accepting new patients

Locations

523 Bustleton Pike
Fstrvl Trvose, PA 19053
Phone (215) 355-7900

83 Buck Rd
Southampton, PA 18966
Phone (215) 355-7900

777 Township Line Rd
Yardley, PA 19067
Phone (215) 399-6011

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1851869630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675552",
            "telephone_number": "215-860-0775",
            "fax_number": "215-860-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 TOWNSHIP LINE RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675552",
            "telephone_number": "215-860-0775",
            "fax_number": "215-860-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAILOVA-SLIOZBERG",
        "first_name": "ELIZABETT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP019471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "SP019471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.