Organization Active NPI

Dr Elsie Witt-Bockler, Physician PC

  • Internal Medicine Physician
  • Sea Cliff, NY
National Provider Identifier
1952689853
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
180772 Issued in NY
Legal business name
DR ELSIE WITT-BOCKLER, PHYSICIAN PC
Practice address
87 Glen Ave
Sea Cliff, NY 11579-1430
Phone
(516) 671-0445
Fax
(516) 759-7975
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Elsie Marie Witt-Bockler, MDNPI 1831282227
Title
President
Phone
(516) 671-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 180772 NY Primary

Addresses

Primary practice location

87 Glen Ave
Sea Cliff, NY 11579-1430

Mailing address

87 Glen Ave
Sea Cliff, NY 11579-1430
Phone (516) 671-0445

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1952689853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GLEN AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791430",
            "telephone_number": "516-671-0445",
            "fax_number": "516-759-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 GLEN AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791430",
            "telephone_number": "516-671-0445",
            "fax_number": "516-759-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELSIE WITT-BOCKLER, PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "WITT-BOCKLER",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-671-0445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "180772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.