ELLIS HOSPITAL (NPI# 1104279363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279363 |
| Entity Type | Organization |
| Organization Name | ELLIS HOSPITAL |
| Other Organization Name | ELLIS HOSPITAL MCCLELLAN ST. HEALTH CENTER |
| Practice Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Practice Telephone | 5183475315 |
| Practice Fax Number | 5183822353 |
| Mailing Telephone | 5183475315 |
| Mailing Fax Number | 5183822353 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | MICHAEL PASQUARELLA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5182431818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
029032 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160720 | 01 |
| Other Name | Type Code |
|---|---|
| Ellis Hospital McClellan St. Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548823 | Ellis Hospital | Clinic/Center | 200 Harborside Drive, Suite 101, Schenectady, NY 12305-1020 | 2018-08-16 |
| 1699255190 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 202, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1871073353 | Ellis Hospital | Clinic/Center | 990 State Route 67 Ste 101, Ballston Spa, NY 12020-3603 | 2018-08-15 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1639659931 | Ellis Hospital | Clinic/Center | 103 Sitterly Rd Ste 2300, Halfmoon, NY 12065-5646 | 2018-08-16 |
| 1548740848 | Ellis Hospital | Clinic/Center | 115 Saratoga Rd Ste 200, Glenville, NY 12302-4224 | 2018-08-16 |
| 1023598331 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste G2, Schenectady, NY 12304-1024 | 2018-08-16 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1902386485 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1881174381 | Ellis Hospital | Clinic/Center | 2537 Route 9, Suite 203, Malta, NY 12020 | 2018-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELLIS HOSPITAL | 1101 Nott Street, Schenectady, Ny 12308 |
| New York State Corporations | ELLIS HOSPITAL FOUNDATION, INC. | 1101 Nott Street, Schenectady, Ny 12308 |
| Massachusetts Corporations | ELLIS HOSPITALITY GROUP, INC. | 111 North Main St., Petersham, MA 01366 |
| Virginia Business Entities | Ellis Hospitality Properties LLC | 107 East Main Street, Marion, Virginia 24354 |
| Street Address |
600 MCCLELLAN ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072465 | Vincent J Luvera | Family Medicine | 600 Mcclellan St, St Claires Hospital Wound Care Center, Schenectady, NY 12304-1009 | 2005-09-08 |
| 1376159434 | Megan Ferguson | Physical Therapist | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-09-23 |
| 1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
| 1932735396 | Joelle Lynne Malinowski | Dietitian, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-03-18 |
| 1104464809 | Alison Miller | Social Worker | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-12-13 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1790299741 | Regina Donofrio | Respiratory Therapist, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-11-29 |
| 1528582509 | Hydee J Yonkers | Respiratory Therapist, Certified | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-08-01 |
| 1346761640 | Rahul Kallianpur | Student in an Organized Health Care Education/Training Program | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158626 | Li Script North LLC | Pharmacy | 526 Altamont Ave, Schenectady, NY 12303-1039 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1326684069 | Procare Ltc of Syracuse, LLC | Pharmacy | 621 E Brighton Ave, Syracuse, NY 13210-4254 | 2019-11-18 |
| 1376108670 | Bh Drug Corp | Pharmacy | 8780a Sutphin Blvd, Jamaica, NY 11435-3342 | 2019-05-02 |
| 1093273500 | Pleasant Valley Chemists Inc | Pharmacy | 13 North Ave Ste 1, Pleasant Valley, NY 12569-7943 | 2019-03-05 |
| 1215406939 | C L Cressler Inc | Pharmacy | 1179 Vestal Ave Ste 1, Binghamton, NY 13903-1606 | 2018-11-26 |
| 1093298853 | Kovi Inc. | Pharmacy | 2417 3rd Ave Ste 802, Bronx, NY 10451-6342 | 2018-09-07 |
| 1033698840 | Rx City Pharmacy, Inc | Pharmacy | 161 Genesee St Ste 105, Auburn, NY 13021-3390 | 2018-08-13 |
| 1811409451 | Monsey Family Drugstore LLC | Pharmacy | 108 B Route 59, Monsey, NY 10952 | 2017-11-03 |
| 1215448857 | Crestwood Health Inc | Pharmacy | 26 Picotte Dr, Albany, NY 12208-1710 | 2017-10-23 |
| 1205353315 | Carepax LLC | Pharmacy | 382 Route 59 Ste 276, Airmont, NY 10952-3422 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.