ELISA JEAN MARY (NPI# 1740779206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740779206 |
| Entity Type | Individual |
| Full Name | ELISA JEAN MARY |
| Credential | NP |
| Practice Address |
87-08 Justice Ave Suite Cs Elmhurst NY 11373 |
| Practice Telephone | 7187799599 |
| Practice Fax Number | 7187799579 |
| Mailing Telephone | 7187799599 |
| Mailing Fax Number | 7187799579 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 308410 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
87-08 JUSTICE AVE SUITE CS |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705908 | Simrat Singh | Nurse Practitioner | 547 N Howard Ave, Elmhurst, IL 60126-2024 | 2020-03-19 |
| 1205360385 | Emily Clapsaddle | Nurse Practitioner | 420 E. Butterfield Rd, Elmhurst, IL 60126-2816 | 2017-04-17 |
| 1003299165 | Juliet Ibanez Panambo | Nurse Practitioner | Po Box 745, Elmhurst, IL 60126-0745 | 2015-07-07 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| 1447567268 | Renata Krystyna Ciszek | Nurse Practitioner | 429 N York Road, Elmhurst, IL 60126 | 2010-09-01 |
| 1639251317 | Emelita D Sequeira | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2006-10-20 |
| 1124073713 | Lisa Stucky-marshall | Nurse Practitioner | 177 E Brush Hill Rd, Elmhurst, IL 60126 | 2006-05-23 |
| 1457987158 | Deon Lee | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-03-13 |
| 1659928398 | Janieta Brown | Nurse Practitioner | 429 N York St, Elmhurst, IL 60126-2003 | 2019-08-19 |
| 1487218921 | Marvina Maria Isufi | Nurse Practitioner | 1200 S York St Ste 4280, Elmhurst, IL 60126-5632 | 2019-04-30 |
| Find all providers in ELMHURST | ||||
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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.