Eliseo Asencio M.D.P.L.L.C

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

147897 Issued in NY

Legal business name

ELISEO ASENCIO M.D.P.L.L.C

Practice address

5955 47TH Ave
Woodside, NY 11377-5662

Phone

(718) 426-6400

Fax

(718) 803-3808

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Eliseo Asencio, MD

Title

MD

Phone

(718) 426-6400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1982868071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775662",
            "telephone_number": "718-426-6400",
            "fax_number": "718-803-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 47TH AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775662",
            "telephone_number": "718-426-6400",
            "fax_number": "718-803-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISEO ASENCIO M.D.P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "ASENCIO",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-426-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "147897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Eggers, PT, DPT
• Elal Car Limo Service LLC
• Noranne Elattal
• Mohamed Magdy Elattar
• Ali Mohamed Elbasha, PHARM.D
• Elite New York Dental
• Elite Orthomed Supply Inc.
• Sarah N Ellman, LMSW
• Mohamad Ahmad Elsayed Mohamad
• Ahmed Eltegy I

• Geriatric Medicine (Internal Medicine) Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.