ELITE ADULT AND SENIOR PRACTICE INC
NPI 1497525638
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since January 08, 2024
1420 BUSHWICK AVE, BROOKLYN, NY 11207(718) 772-7951(718) 808-0043 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elite Adult And Senior Practice Inc NPPES

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

ELITE ADULT AND SENIOR PRACTICE INC (NPI 1497525638) is a healthcare organization registered as an adult health in Brooklyn, New York and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Brooklyn and lists Obioma Onah, Owner, as its authorized official.

NPPES Registry Identity

NPI1497525638
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameELITE ADULT AND SENIOR PRACTICE INC
Location Address1420 BUSHWICK AVEBrooklyn, NY 11207-1422
Mailing Address21726 138th RdSpringfield Gardens, NY 11413-2608 · (347) 393-5187 · Fax (718) 808-0043
Fax(718) 808-0043
Organization SubpartNo
Authorized OfficialObioma OnahOwner · (347) 393-5187
Enumeration DateJanuary 8, 2024
Last NPPES UpdateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1497525638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
1420 BUSHWICK AVE, Brooklyn, NY 11207

Secondary Practice Location 1

Location 11721 Pitkin AveBrooklyn, NY 11212-6603 · Phone (718) 772-7951 · Fax (718) 808-0043

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Adult And Senior Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elite Adult And Senior Practice Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1013363951
21726 138TH RD
Springfield Gardens, NY 11413
(718) 772-7951
✔ PECOS✔ Accepts Medicare8.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elite Adult And Senior Practice Inc's NPI number?

The NPI number for Elite Adult And Senior Practice Inc is 1497525638. It was assigned to this organization in the NPPES registry on January 8, 2024.

Where is Elite Adult And Senior Practice Inc located?

Elite Adult And Senior Practice Inc is located at 1420 Bushwick Ave, Brooklyn, NY 11207. The listed phone number is (718) 772-7951.

What is Elite Adult And Senior Practice Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elite Adult And Senior Practice Inc enrolled in Medicare?

Yes. Elite Adult And Senior Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Adult And Senior Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elite Adult And Senior Practice Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Adult And Senior Practice Inc was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.