ELIZABETH ETIENNE M.D.
NPI 1134517089
Pediatrics in Bronx, NY

Q: What is Elizabeth Etienne's NPI number?

The NPI number for Elizabeth Etienne is 1134517089. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Q: What is Elizabeth Etienne's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Etienne was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 30, 2014PECOS Enrolled

1065 SOUTHERN BLVD, BRONX, NY 10459(718) 589-2440(718) 991-4516 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Etienne M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ETIENNE M.D. (NPI 1134517089) is an individual pediatrics provider in Bronx, New York, licensed in New York (279974) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134517089

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH ETIENNECredential: M.D.

Location Address1065 SOUTHERN BLVDBronx, NY 10459-2417

Mailing Address1065 Southern BlvdBronx, NY 10459-2417 · (718) 589-2440 · Fax (718) 991-4516

Phone(718) 589-2440

Fax(718) 991-4516

Sole ProprietorNo

Enumeration DateDecember 30, 2014

Last NPPES UpdateJuly 17, 2015

✔ NPI 1134517089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 279974

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1065 SOUTHERN BLVD, Bronx, NY 10459

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Other Identifiers 1

Other279974NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Etienne M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH VANEGAS

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