ELIZABETH ITO
NPI 1679159230
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PKWY S, BLDG 6/SUITE B125, BRONX, NY 10461(718) 918-5820 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Ito NPPES

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

ELIZABETH ITO (NPI 1679159230) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2021).

NPPES Registry Identity

NPI1679159230
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH ITO
Location Address1400 PELHAM PKWY S, BLDG 6/SUITE B125Bronx, NY 10461-1138
Mailing Address1400 Pelham Pkwy S, Bldg 6/suite B125Bronx, NY 10461-1138 · (718) 918-5820
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2021
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1679159230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1400 PELHAM PKWY S, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Ito is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830697861
PECOS Enrollment IDI20250808004078
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.

Genetic Counselor, MS
1400 PELHAM PKWY S, BUILDING 1, ROOM 1N43H
BRONX, NY 10461
General Practice
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER 1E12
BRONX, NY 10461
Dentist
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER
BRONX, NY 10461
Internal Medicine (Gastroenterology)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Dentist (Pediatric Dentistry)
1400 PELHAM PKWY S
BRONX, NY 10461
Internal Medicine
1400 PELHAM PKWY S
BRONX, NY 10461
Psychiatry & Neurology (Psychiatry)
1400 PELHAM PKWY S, JACOBI MEDICAL CENTER
BRONX, NY 10461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679159230, enumerated as an "individual" on March 23, 2021.

The provider is located at 1400 PELHAM PKWY S BLDG 6/SUITE B125 BRONX, NY 10461 and the phone number is (718) 918-5820.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.