Elizabeth Jade Anderson, MD

Psychiatry & Neurology, Neurology in Brooklyn, NY. Individual provider (NPI-1).

NPI number1669978714

StatusActive

Last updated in NPPESDec 15, 2025

Details

NPI: 1669978714
Entity type: Individual (NPI-1)
Name: Elizabeth Jade Anderson
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Apr 5, 2018
Certification date: Dec 15, 2025
Last updated: Dec 15, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	R78308	AZ	Yes
208600000X	Surgery	309219	LA

Practice location

451 Clarkson Ave
Brooklyn, NY 11203-2097

Phone 844-692-4692

Mailing address

451 Clarkson Ave
Brooklyn, NY 11203-2097

Phone 844-692-4692

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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