Ilana Etelzon MD PC
NPI 1104428796ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Brooklyn, NY
Physical Medicine & Rehabilitation, Pain Medicine in Brooklyn, New York, registered in NPPES in November 2020. The authorized official on file is Ilana Etelzon, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104428796 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2020 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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