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DR. MARY SUSAN ELACQUA M.D.
NPI 1316904105
Obstetrics & Gynecology - Gynecology in Troy, NY

Active since April 27, 2006
101 JORDAN RD, SUITE 200, TROY, NY 12180(518) 274-0476(518) 274-0497 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Susan Elacqua M.d. NPPES

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

DR. MARY SUSAN ELACQUA M.D. (NPI 1316904105) is an individual gynecology provider in Troy, New York, licensed in New York (149514) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1316904105
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. MARY SUSAN ELACQUACredential: M.D.
Location Address101 JORDAN RD, SUITE 200Troy, NY 12180-8343
Mailing Address711 Troy Schenectady Rd, Suite 203Latham, NY 12110-2442 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 274-0476
Fax(518) 274-0497
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 6, 2014
✔ NPI 1316904105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 149514
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
101 JORDAN RD, Troy, NY 12180
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Other Identifiers 17

Other000416081001NY · Blue Shield
Other0005361476NY · Aetna
Other113801NY · Wellcare
Other13801NY · Ghihmo
Other141655014NY · Empire Plan
Other040426006334NY · Fidelis
Other10000563NY · Cdphp
Medicaid00858755NY
Medicare PINJ400034837NY
Other16152NY · Mvp
Other141655014NY · United Healthcare
Other52E361NY · Blue Cross
Other160007874NY · Railroad Medicare
Other00020780401NY · Univera
Other0015055NY · Ghi
Medicare UPINB82497NY
Medicare ID-Type Unspecified39622FNY

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. ADRIAN PRZYBYLA M.D.
Plastic Surgery
101 JORDAN RD, SUITE 103
TROY, NY 12180
Rensselaer County (518) 274-6829
DONALD JUE
Internal Medicine
101 JORDAN RD, SUITE 101
TROY, NY 12180
Rensselaer County (518) 274-9126
COMMUNITY CARE PHYSICIANS, PC
Obstetrics & Gynecology
101 JORDAN RD, SUITE 200
TROY, NY 12180
Rensselaer County (518) 274-0476
DR. RACHELLE BRILLIANT DO
Family Medicine
101 JORDAN RD, SUITE 104
TROY, NY 12180
Rensselaer County (518) 274-9126
ERIC GROSS MD
Internal Medicine
101 JORDAN RD, SUITE 100
TROY, NY 12180
Rensselaer County (518) 274-9126
DR. JENNIFER M WILEY M.D.
Family Medicine
101 JORDAN RD, SUITE 104
TROY, NY 12180
Rensselaer County (518) 274-0024
COMMUNITY CARE PHYSICIANS, PC
Internal Medicine
101 JORDAN RD, SUITE 100
TROY, NY 12180
Rensselaer County (518) 274-9126
MARSHA SMITH
Nurse Practitioner (Family)
101 JORDAN RD, SUITE 104
TROY, NY 12180
Rensselaer County (518) 274-9126

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 Mary Elacqua's NPI number?

The NPI number for Mary Elacqua is 1316904105. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Mary Elacqua located?

Mary Elacqua practices at 101 Jordan Rd Suite 200, Troy, NY 12180. The listed phone number is (518) 274-0476.

What is Mary Elacqua's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Mary Elacqua was last updated on October 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.