DR. KIMBERLY KAROL ELMER M.D. NPI 1346244704

NPI Information

  • NPI: 1346244704
  • Provider Name: DR. KIMBERLY KAROL ELMER, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 532 MOE RD
    CLIFTON PARK
    CLIFTON PARK, NY
    ZIP 12065
  • Phone: (518) 383-2425

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NPI Details

DR. Kimberly Karol Elmer, M.D. is an adolescent medicine pediatrics in Clifton Park, NY with 33 years of experience. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Kimberly Karol Elmer, M.D. NPI is 1346244704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1992

The provider's business location address is:

532 MOE RD
CLIFTON PARK
CLIFTON PARK, NY
ZIP 12065-822
Phone: (518) 383-2425
Fax: (518) 383-3255

The NPI 1346244704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine200045NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD1244MEDICARE UPINNEW YORK
2G16078MEDICARE UPINNEW YORK
300347562MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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