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ELIZABETH KIELTYKA P.A.
NPI 1205378627
Physician Assistant - Medical in Bronx, NY

Active since November 16, 2016PECOS Enrolled
1825 EASTCHESTER RD, BRONX, NY 10461(718) 904-2000 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Kieltyka P.a. NPPES

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

ELIZABETH KIELTYKA P.A. (NPI 1205378627) is an individual medical provider in Bronx, New York, licensed in New York (020343) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205378627
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH KIELTYKACredential: P.A.
Location Address1825 EASTCHESTER RDBronx, NY 10461-2301
Mailing Address1825 Eastchester RdBronx, NY 10461-2301 · (718) 904-2000
Phone(718) 904-2000
Sole ProprietorNo
Enumeration DateNovember 16, 2016
✔ NPI 1205378627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020343
Also ListedPhysician AssistantTaxonomy 363A00000X · License 020343 (NY)
1825 EASTCHESTER RD, Bronx, NY 10461
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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 Kieltyka P.a. 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.

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.

DR. ANGELICA ROSA ANGIULLI MD
Emergency Medicine
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904
KOHTARO OOKA
Internal Medicine (Gastroenterology)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (844) 556-6683
MR. ZAPHIN VARGHESE
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
YILUN LI
Physician Assistant
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (203) 710-6502
KIRA PAGE
Student in an Organized Health Care Education/Training Program
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
DR. CRISTINA MARIA GONZALEZ M.D.
Hospitalist
1825 EASTCHESTER RD, DOM 2-76
BRONX, NY 10461
Bronx County (718) 904-2400
DARSHITA SHAH MD
Obstetrics & Gynecology
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2767
SHRUTHEE RAJENDRAN
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Kieltyka's NPI number?

The NPI number for Elizabeth Kieltyka is 1205378627. It was assigned to this individual provider in the NPPES registry on November 16, 2016.

Where is Elizabeth Kieltyka located?

Elizabeth Kieltyka practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2000.

What is Elizabeth Kieltyka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Kieltyka enrolled in Medicare?

Yes. Elizabeth Kieltyka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Kieltyka was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.