Individual provider Active NPI

Eliza O Debow, MD

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1871852004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A126836 Issued in CA
Practice address
1400 Pelham Pkwy South Building 8
Jacobi Medical Center Obstetrics & Omnecology
Bronx, NY 10461
Phone
(718) 918-5000
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 287962 NY
Student in an Organized Health Care Education/Training Program 390200000X CA
Obstetrics & Gynecology Physician 207V00000X A126836 CA Primary

Addresses

Primary practice location

1400 Pelham Pkwy South Building 8
Jacobi Medical Center Obstetrics & Omnecology
Bronx, NY 10461

Mailing address

1400 Pelham Pkwy South Building 1, Room BS27
Nyc Health and Hospitals Jacobi Dept of OBGYN
Bronx, NY 10461
Phone (718) 918-6300

Other names 1

  • Eliza M Orzylowska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160629000627 CA Practitioner - Obstetrics/Gynecology 8527359173 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126836CAMDObstetrics & Gynecology Physician
287962NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Dec 13, 2024 Accepting new patients
County of Los Angeles CurrentSince Apr 9, 2021 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Apr 9, 2021 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 4

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871852004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY SOUTH BUILDING 1, ROOM BS27",
            "address_2": "NYC HEALTH AND HOSPITALS JACOBI DEPT OF OBGYN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-6300",
            "fax_number": "718-918-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY SOUTH BUILDING 8",
            "address_2": "JACOBI MEDICAL CENTER OBSTETRICS & OMNECOLOGY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOW",
        "first_name": "ELIZA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "287962",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A126836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZA",
            "last_name": "ORZYLOWSKA",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.