Healthcare Provider Details

I. General information

NPI: 1780799031
Provider Name (Legal Business Name): JASON M ELINOFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NATIONAL INSTITUTES OF HEALTH 10 CENTER DR, BLDG 10 RM 2C145
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

211 BADEN ST
SILVER SPRING MD
20901-4839
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-9320
  • Fax:
Mailing address:
  • Phone: 301-920-1823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0068295
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberD68295
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: