Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elena Lubimov

Individual provider Family Nurse Practitioner · NPI 1104287796

Elena Lubimov is a Nurse Practitioner in Scarsdale, New York. Qualified in 2016, 10 years ago. Practices with Memorial Neurology Group, a 96-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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Practice location Address checks out

158 Lakeview Ave
Scarsdale, NY 10583-5156
Phone: (914) 434-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F340497 (NY)

Record details

NPI number1104287796
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Neurology Group — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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