Individual provider Active NPI

Elaina Therese Ramos, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1871121186
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
325300 Issued in NY
Practice address
120 Lawrence St
Brooklyn, NY 11201-3812
Phone
(718) 277-0386
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 325300 NY Primary

Addresses

Primary practice location

120 Lawrence St
Brooklyn, NY 11201-3812

Mailing address

230 W 17TH St
New York, NY 10011-5325

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
I20240219000066 NY Practitioner - Family Practice 2567806565 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
325300NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Housing Works Services II, Inc CurrentSince Dec 24, 2023 Accepting new patients

Locations

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

120 Lawrence St
Brooklyn, NY 11201
Phone (347) 473-7400

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1871121186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAWRENCE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013812",
            "telephone_number": "718-277-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ELAINA",
        "middle_name": "THERESE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.