ELLIOT BANAYAN MD
NPI 1417577735
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Elliot Banayan's NPI number?

The NPI number for Elliot Banayan is 1417577735. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Q: What is Elliot Banayan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elliot Banayan was last updated on May 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2020PECOS Enrolled

121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-6923 Get Directions Write a Review

NPPES record last updated: May 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2020, Apr 17, 2020 (2 updates tracked since 2020).

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About Elliot Banayan Md NPPES

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

ELLIOT BANAYAN MD (NPI 1417577735) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417577735

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameELLIOT BANAYANCredential: MD

Location Address121 DEKALB AVEBrooklyn, NY 11201-5493

Mailing Address121 Dekalb AveBrooklyn, NY 11201-5493

Phone(718) 250-6923

Sole ProprietorNo

Enumeration DateApril 17, 2020

Last NPPES UpdateMay 9, 20202 updates tracked since enumeration

NPPES CertifiedMay 9, 2020

✔ NPI 1417577735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

121 DEKALB AVE, Brooklyn, NY 11201

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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)

Elliot Banayan Md 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.