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Physician Compare National (NPI:1982043972)

HEALTHCARE PROVIDER: ELIE MENDELSON D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1982043972
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749500072
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150527002504
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MENDELSON
Individual professional last name
Provider First Name ELIE
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name BRIETSTEIN AND STRAUSS DPM PA
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2365467214
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 7421 N UNIVERSITY DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 304
Group Practice or individual's line 2 address
City TAMARAC
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 333216102
Group Practice or individual's zip code (9 digits when available)
Phone Number 9547228080
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 100039
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 BROWARD HEALTH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 100224
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 UNIVERSITY HOSPITAL AND MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 100086
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 BROWARD HEALTH NORTH
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 100200
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 BROWARD HEALTH IMPERIAL POINT
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 100189
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 NORTHWEST MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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