MR. REGINALD ELPENORD


Address: 760 Broadway, Brooklyn, NY 11206-5317
Phone: 7189638000

MR. REGINALD ELPENORD (NPI# 1902046956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902046956
Entity Type Individual
Full Name MR. REGINALD ELPENORD
Credential RPA-C
Practice Address 760 Broadway
Brooklyn
NY 11206-5317
Mailing Address 1348 E 84th St
Brooklyn
NY 11236-5104
Practice Telephone 7189638000
Mailing Telephone 7185319588
Enumeration Date 2009-03-04
Last Update Date 2015-10-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		013167-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 760 BROADWAY
City BROOKLYN
State NY
Zip Code 11206-5317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821093261 Steven Gounardes Dentist 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 2005-06-14
1881295350 George Thomas Skevas Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5383 2020-11-02
1659971752 Corinne Elizabeth Carpenter Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-28
1467052613 Valeria Labastida Torres Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-27
1801493507 Sofia Murillo Physician Assistant 760 Broadway, Brooklyn, NY 11206-5317 2020-10-06
1699372565 Micaela Austin Internal Medicine 760 Broadway, Brooklyn, NY 11206-5383 2020-10-05
1063019115 Ammar Alwardat Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-01
1295346542 Johanne Blount Nurse Practitioner 760 Broadway, Brooklyn, NY 11206-5383 2020-08-11
1184234056 Syed Salman Hamid Hashmi Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-08-05
1316557267 Alexandra Lukens Bennett Social Worker 760 Broadway, Brooklyn, NY 11206-5317 2020-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255957684 Armyda Montoya Novoa Student in an Organized Health Care Education/Training Program Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 2020-06-22
1528684107 Elizabeth Nana Ama Sarporma Osei-kuffuor Student in an Organized Health Care Education/Training Program 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 2020-06-19
1356965057 Ishan Poudel Student in an Organized Health Care Education/Training Program 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 2020-05-29
1538721303 Osarodion Osa Igbinomwanhia Student in an Organized Health Care Education/Training Program Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 2019-07-02
1043872955 Olajide A Sowemimo Student in an Organized Health Care Education/Training Program Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 2019-07-01
1184284895 Jacqueline So Student in an Organized Health Care Education/Training Program 760 Broadway, Room 2c319, Brooklyn, NY 11206 2019-06-14
1326607722 Nicole Chamak Speech-Language Pathologist Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 2019-06-10
1831660356 Sheena Erica Purcell Registered Nurse White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 2018-12-10
1922578145 Robert A Rodriguez Social Worker 630 Fushing Ave, Brooklyn, NY 11206 2018-11-30
1346724085 Evelyn Wreh Larbie Licensed Practical Nurse White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 2018-09-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1710517305 Angenis Lin Physician Assistant 1526 83rd St, Brooklyn, NY 11228-3130 2020-01-22
1740848985 Mallory Des Champs Physician Assistant 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 2019-06-03
1588140230 Sharon Cheptum Griesinger Physician Assistant 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 2018-07-16
1336651629 Francine Panely Physician Assistant 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 2017-10-26
1265951479 Leah Mcmullen Physician Assistant 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 2017-09-19
1033655378 Zacharia El-samin Physician Assistant 21 Pine Tree Ter, Brooklyn, CT 06234-3324 2017-01-10
1982156816 Chad Smartt Physician Assistant 988 E 39th St, Brooklyn, NY 11210-3508 2016-10-26
1154870913 Christina Masaitis Physician Assistant 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 2016-09-22
1447615737 Eliezer Gurkov Physician Assistant 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 2015-12-31
1588039846 Inna Kremen Physician Assistant 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 2015-12-11
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Competitor

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City BROOKLYN
Zip Code 11206

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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