Individual provider Active NPI

Ellen Diane Drexler, M.D.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1952301855
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
138453 Issued in NY
Practice address
883 65TH St
Brooklyn, NY 11220-4737
Phone
(718) 283-5850
Fax
(718) 635-6082
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 138453 NY Primary

Addresses

Primary practice location

883 65TH St
Brooklyn, NY 11220-4737

Mailing address

883 65TH St
Brooklyn, NY 11220-4737
Phone (718) 283-5850

Other identifiers 1

IdentifierTypeStateIssuer
00709760MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Central Brooklyn Medical Group PC Past Accepting new patients
Kings Medical PC PastSince Mar 16, 2007 Accepting new patients
Boro Park Medical P.C. PastSince Feb 18, 2000 Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Interoperability endpoints

  • Direct secure messaging: ellendrexler@mai.allscriptsdirect.net

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1952301855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204737",
            "telephone_number": "718-283-5850",
            "fax_number": "718-635-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204737",
            "telephone_number": "718-283-5850",
            "fax_number": "718-635-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREXLER",
        "first_name": "ELLEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "138453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00709760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.