DR. ELISA J STAUFFER (NPI# 1083811962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083811962 |
| Entity Type | Individual |
| Full Name | DR. ELISA J STAUFFER |
| Other Name | DR. ELISA J KEEFE |
| Credential | M.D. |
| Practice Address |
26901 76th Ave Ste 255 New Hyde Park NY 11040 |
| Mailing Address |
26901 76th Ave Ste 255 New Hyde Park NY 11040-1433 |
| Practice Telephone | 7184703000 |
| Mailing Telephone | 7184703000 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 25839 | OK | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
271839 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4502 E 41st St, Tulsa, OK 741352553 | 9186603500 |
| Street Address |
26901 76TH AVE STE 255 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778394 | Leisa Sierra Lord-halvorson | Physician Assistant | 26901 76th Ave Ste 255, New Hyde Park, NY 11040-1433 | 2018-11-04 |
| 1558746040 | Anshul Kamlesh Vagrecha | Student in an Organized Health Care Education/Training Program | 26901 76th Ave Ste 255, New Hyde Park, NY 11040-1433 | 2015-07-24 |
| 1053626267 | Adina Schwab | Physician Assistant | 26901 76th Ave Ste 255, New Hyde Park, NY 11040-1433 | 2010-08-11 |
| 1669601779 | Theresa Marie Morrison | Nurse Practitioner | 26901 76th Ave Ste 255, New Hyde Park, NY 11040-1433 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952461097 | Jeffrey Lipton | Pediatrics | Lijmc Pediatric Hem Onc, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1649330788 | Gungor Karayalcin | Pediatrics | Sch Hematology Oncology, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
| 1194895235 | Adrianna Vlachos | Pediatrics | Sch-dept of Pediatrics, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1235218991 | Banu Aygun | Pediatrics | Sch - Hematology/oncology, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-03 |
| 1326027079 | Carolyn Fein Levy | Pediatrics | 269-01 76th Avenue Suite 255, Schneider Children's Hospital, New Hyde Park, NY 11040 | 2006-01-11 |
| 1780084186 | Michelle Nash | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2014-09-04 |
| 1689952269 | Julie Irene Krystal | Pediatrics | 269-01 76th Ave, Suite 255, New Hyde Park, NY 11040-1402 | 2011-07-29 |
| 1407179740 | Issai Vanan | Pediatrics | 269-01 76th Ave, New Hyde Park, NY 11040 | 2010-03-01 |
| 1750599163 | Jonathan D Fish | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2007-05-18 |
| 1548477714 | Carole Paley | Pediatrics | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2007-05-17 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.