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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Mary Susan Elacqua, M.D.

Gynecology Physician in Troy, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316904105

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Registry record

Entity type Individual (Type 1)
Name Dr. Mary Susan Elacqua
Credential M.D.
Sex Female
Practice address 101 Jordan Rd, Suite 200, Troy, NY, 12180
Fax (518) 274-0497
Enumeration date Apr 27, 2006
Last updated in NPPES Oct 6, 2014

Taxonomy & licenses

207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians · License 149514 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
141655014 Other NY EMPIRE PLAN
160007874 Other NY RAILROAD MEDICARE
16152 Other NY MVP
00858755 Medicaid NY -
113801 Other NY WELLCARE
13801 Other NY GHIHMO
10000563 Other NY CDPHP
52E361 Other NY BLUE CROSS
000416081001 Other NY BLUE SHIELD
0015055 Other NY GHI
141655014 Other NY UNITED HEALTHCARE
0005361476 Other NY AETNA
040426006334 Other NY FIDELIS
00020780401 Other NY UNIVERA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mary Elacqua practice?
The practice location on file with NPPES is in Troy, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mary Elacqua?
The National Provider Identifier (NPI) for Mary Elacqua is 1316904105, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-06.