Individual provider Active NPI

Charles M. Elkin, MD

  • Diagnostic Radiology Physician
  • White Plains, NY
National Provider Identifier
1952307621
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
148820 Issued in NY
Practice address
Davis Ave at E Post Rd
White Plains, NY 10601-4615
Phone
(914) 681-1260
Fax
(914) 681-2906
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 148820 NY Primary

Addresses

Primary practice location

Davis Ave at E Post Rd
White Plains, NY 10601-4615

Mailing address

244 Westchester Ave
Ste 103
White Plains, NY 10604-2900
Phone (800) 501-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080809000008 NY Practitioner - Diagnostic Radiology 3072687060 Reassigns benefits to 3 organizations
I20210826002860 NJ Practitioner - Diagnostic Radiology 3072687060 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

186 Deerfield LN N
Pleasantville, NY 10570-1433
Phone (732) 390-0040

226 E Middle Country Rd
Smithtown, NY 11787-2918
Phone (631) 775-3450

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

611 Northern Blvd
Great Neck, NY 11021-5207
Phone (718) 683-3766

611 Northern Boulevard
Suite 250
Great Neck, NY 11021-5207
Phone (516) 233-3456

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 269-1914

865 Northern Boulevard
Suite 302
Great Neck, NY 11021-5207
Phone (516) 570-4400

95 -25 Queens Boulevard
Rego Park, NY 11374-4510
Phone (718) 925-6565

9525 Queens Blvd
Rego Park, NY 11374-4510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
148820NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2015 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Aug 12, 2022 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Central Jersey Radiologists Diagnostic Radiology Past Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology Past Accepting new patients

Locations (25 of 32)

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3 Progress St
Edison, NJ 08820
Phone (908) 753-0001

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

105 Raider Blvd
Hillsborough, NJ 08844
Phone (908) 359-9331

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

2130 Millburn Ave
Ste A8
Maplewood, NJ 07040
Phone (732) 383-4166

264 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2322

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

2128 State Route 35
Oakhurst, NJ 07755
Phone (732) 493-8444

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: celkin68519@northwell.direct-ci.com

Organizations & group practices 9

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 7

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1952307621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WESTCHESTER AVE",
            "address_2": "STE 103",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042900",
            "telephone_number": "800-501-6388",
            "fax_number": "914-872-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAVIS AVE AT E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014615",
            "telephone_number": "914-681-1260",
            "fax_number": "914-681-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIN",
        "first_name": "CHARLES",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "148820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.