ELIZABETH MALIA FORDAHL DO
NPI 1942941679
Student in an Organized Health Care Education/Training Program in Yonkers, NY

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
967 N BROADWAY, YONKERS, NY 10701(914) 798-8971 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Malia Fordahl Do NPPES

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

ELIZABETH MALIA FORDAHL DO (NPI 1942941679) is an individual student in an organized health care education/training program in Yonkers, New York and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942941679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH MALIA FORDAHLCredential: DO
Location Address967 N BROADWAYYonkers, NY 10701-1301
Mailing Address79 Alexander St Apt 1302Yonkers, NY 10701-2988 · (925) 628-8415
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1942941679 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.
967 N BROADWAY, Yonkers, NY 10701

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 Malia Fordahl Do 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 ID2567968688
PECOS Enrollment IDI20250929002052
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Internal Medicine (Gastroenterology)
967 N BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701

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 Fordahl's NPI number?

The NPI number for Elizabeth Fordahl is 1942941679. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Elizabeth Fordahl located?

Elizabeth Fordahl practices at 967 N Broadway, Yonkers, NY 10701. The listed phone number is (914) 798-8971.

What is Elizabeth Fordahl's specialty?

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

Is Elizabeth Fordahl enrolled in Medicare?

Yes. Elizabeth Fordahl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elizabeth Fordahl affiliated with any hospitals?

According to CMS data, Elizabeth Fordahl is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Fordahl was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.