Active NPI
Rachel Eljashev, M.D.
- Neuro-ophthalmology Physician
- Massapequa Park, NY
National Provider Identifier
1992280374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 191401-1
- Practice address
- 115 Charles Ave
Massapequa Park, NY 11762 - Phone
- (516) 838-2258
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuro-ophthalmology Physician | 207WX0109X | 191401-1 | NY | Primary |
Addresses
Primary practice location
115 Charles Ave
Massapequa Park, NY 11762
Mailing address
115 Charles Ave
Massapequa Park, NY 11762-2356
Phone (516) 838-2258
Other practice location 1
500 Commack Rd
Commack, NY 11725-5020
Phone (631) 689-8333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191401-1 | NY | MD | Neuro-ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1992280374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHARLES AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117622356",
"telephone_number": "516-838-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHARLES AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "11762",
"telephone_number": "516-838-2258"
}
],
"practiceLocations": [
{
"address_1": "500 Commack Rd",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117255020",
"country_code": "US",
"telephone_number": "631-689-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELJASHEV",
"first_name": "RACHEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "NY",
"license": "191401-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.