Individual provider Active NPI

Elizabeth Chapler

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1962871590
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019131 Issued in NY
Practice address
60 Knolls Cres Apt 7L
Bronx, NY 10463-6325
Phone
(646) 415-4178
NPI assigned
Sep 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019131 NY Primary

Addresses

Primary practice location

60 Knolls Cres Apt 7L
Bronx, NY 10463-6325

Mailing address

60 Knolls Cres Apt 7L
Bronx, NY 10463-6325
Phone (646) 415-4178

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000103 NY Practitioner - Physician Assistant 2163719394 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019131NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 15, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 15, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 15, 2019 Accepting new patients
New York University CurrentSince Aug 15, 2017 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

Networks

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

Organizations & group practices 6

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1962871590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KNOLLS CRES APT 7L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636325",
            "telephone_number": "646-415-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 KNOLLS CRES APT 7L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636325",
            "telephone_number": "646-415-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.