ELLYN HEIDI MODELL (NPI# 1235226697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235226697 |
| Entity Type | Individual |
| Full Name | ELLYN HEIDI MODELL |
| Credential | MD |
| Practice Address |
1725 East 12 Street Suite 401 Brooklyn NY 11229-1064 |
| Practice Telephone | 7183756400 |
| Practice Fax Number | 7183751822 |
| Mailing Telephone | 7183756400 |
| Mailing Fax Number | 7183751822 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
153615 | NY | Allopathic & Osteopathic Physicians |
| X | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
153615 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1725 EAST 12 STREET SUITE 401 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326148206 | Reproductive Medicine Associates of Brooklyn LLP | Obstetrics & Gynecology | 1725 East 12 Street, Suite 401, Brooklyn, NY 11229-1064 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601971 | Chantae Sullivan-pyke | Obstetrics & Gynecology | 506 6th St # 4kp, Brooklyn, NY 11215-3609 | 2011-04-12 |
| 1568787133 | Jovana Lekovich | Obstetrics & Gynecology | 26 Court St Ste 2710, Brooklyn, NY 11242-1127 | 2010-04-07 |
| 1710246855 | Tendai Michelle Chiware | Obstetrics & Gynecology | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2012-05-10 |
| 1538451786 | Alexis K Masbou | Obstetrics & Gynecology | 506 6th St, Brooklyn, NY 11215-3609 | 2011-05-06 |
| 1902030422 | Jason Dimitrios Kofinas | Obstetrics & Gynecology | 506 6th St, Brooklyn, NY 11215-3609 | 2009-05-12 |
| 1144317652 | Dorcas Ceola Morgan | Obstetrics & Gynecology | 150 55th St, Lmc Department of Obstetrics/gynecology, Brooklyn, NY 11220-2559 | 2006-10-06 |
| 1659485431 | George D Kofinas | Obstetrics & Gynecology | 506 6th St, Kp4, Brooklyn, NY 11215-3609 | 2006-08-18 |
| 1497869184 | Peter R Brzechffa | Obstetrics & Gynecology | 506 6th St, Kp4, Brooklyn, NY 11215-3609 | 2006-08-18 |
| 1316960289 | Suny Health Science Center At Bklyn | Obstetrics & Gynecology | 470 Clarkson Ave, Brooklyn, NY 11203-2012 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350340 | New Hope Fertility Long Island Pllc | Obstetrics & Gynecology | 380 N Broadway Ste 305, Jericho, NY 11753-2109 | 2019-11-11 |
| 1598317091 | Kjd Fertility Pllc | Obstetrics & Gynecology | 115 E 57th St Ste 420&430, New York, NY 10022-2049 | 2019-07-15 |
| 1023675220 | New York Fertility Medical Practice, Pllc | Obstetrics & Gynecology | 110 East 60th Street, 5th Floor, New York, NY 10022-1688 | 2019-05-22 |
| 1376016287 | Westchester Reproductive Medicine | Obstetrics & Gynecology | 344 E Main St Ste 403, Mount Kisco, NY 10549-3036 | 2019-01-03 |
| 1083166003 | New York Medical Sciences, P.C. | Obstetrics & Gynecology | 810 Seventh Avenue, Floor 21, New York, NY 10019 | 2016-10-25 |
| 1851763437 | Rochester Fertility Care, PC | Obstetrics & Gynecology | 1561 Long Pond Rd Ste 410, Rochester, NY 14626-4135 | 2015-10-22 |
| 1558788935 | Trisha Shah | Obstetrics & Gynecology | 141 S. Central Ave, Montefiore Medical Center, Suite 201, Hartsdale, NY 10530-2319 | 2014-03-24 |
| 1124442025 | Integramed Management, LLC | Obstetrics & Gynecology | 2 Manhattanville Rd, Purchase, NY 10577-2113 | 2014-02-12 |
| 1053661900 | Frances Halpern Taney | Obstetrics & Gynecology | 5 Twin Ponds St, Great Neck, NY 11024-1526 | 2012-09-18 |
| 1871854604 | Fatma A Aleem | Obstetrics & Gynecology | 120 East 81st Street, 9a, New York, NY 10028-1433 | 2012-06-07 |
| 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.