ELLIOT JAY PEARSON MD NPI 1669609467

NPI Information

  • NPI: 1669609467
  • Provider Name: ELLIOT JAY PEARSON, MD
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 927 45TH ST STE 206
    MANGONIA PARK, FL
    ZIP 33407
  • Phone: (561) 844-8354

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NPI Details

Elliot Jay Pearson, MD is a pediatric cardiology pediatrics in Mangonia Park, FL with 17 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Elliot Jay Pearson, MD NPI is 1669609467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

927 45TH ST STE 206
MANGONIA PARK, FL
ZIP 33407-450
Phone: (561) 844-8354

The NPI 1669609467 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 6/18/2009 and was last updated on 3/24/2021.

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
12080P0202XPediatricsPediatric CardiologyME 124178FLORIDAYes
2390200000XStudent in an Organized Health Care Education/Training Program14013FLORIDANo

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
1015218400MEDICAIDFLORIDA

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: 11/21/2025

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