DR. MICHAEL W ELICE (NPI# 1114099710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114099710 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL W ELICE |
| Credential | M.D. |
| Practice Address |
80 Crossways Park Dr Suite 200 Woodbury NY 11797-2047 |
| Practice Telephone | 5168025028 |
| Practice Fax Number | 5168025027 |
| Mailing Telephone | 5168025028 |
| Mailing Fax Number | 5168025027 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
132579 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
80 CROSSWAYS PARK DR SUITE 200 |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202262 | Lynn Silverstein | Dermatology | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2005-06-01 |
| 1821642158 | Hyperbaric Associates of America | Emergency Medicine | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2019-07-25 |
| 1831567809 | Aim Integrative Medicine | Pediatrics | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2015-09-09 |
| 1649678780 | Michael W. Elice Md, Pllc | Allergy & Immunology | 80 Crossways Park Dr, Suite 200, Woodbury, NY 11797-2047 | 2014-12-05 |
| 1982833307 | Mary R O'donnell | Physician Assistant | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831567809 | Aim Integrative Medicine | Pediatrics | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689827644 | Gilda Guzman Neuhaus | Pediatrics | 16042 85th St, Howard Beach, NY 11414-3027 | 2008-11-03 |
| 1760687669 | Sharon Herzfeld | Pediatrics | 441 W End Ave Apt 1k, New York, NY 10024-5327 | 2007-06-19 |
| 1750414108 | Marilyn C Agin | Pediatrics | 107 W 90th St, Th-h, New York, NY 10024-1254 | 2007-03-14 |
| 1740276302 | Yuri Brosgol | Pediatrics | 30 W End Ave, Building 1, Brooklyn, NY 11235-4800 | 2005-09-20 |
| 1427050764 | David M Kaufman | Pediatrics | 3 E 83rd St, New York, NY 10028-0459 | 2005-06-01 |
| 1649776683 | Theraplay Developmental Resources, LLC | Pediatrics | 305 Spook Rock Rd, Suffern, NY 10901-4316 | 2018-03-30 |
| 1619339413 | Cristina Fernandez Carbonell | Pediatrics | 2001 Marcus Ave Ste W290, New Hyde Park, NY 11042-1098 | 2016-03-22 |
| 1306191119 | Jennifer Totran Nguyen | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642 | 2012-07-17 |
| 1598067597 | Seedling Developmental, Inc. | Pediatrics | 679 Main St, Rear Suite, East Aurora, NY 14052-2404 | 2010-11-23 |
| 1962638965 | Daniel Greenblatt | Pediatrics | 7b Johnson Rd, Latham, NY 12110-3003 | 2009-06-04 |
| Find all providers with the same taxonomy | ||||
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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.