LISA ELLIS (NPI# 1750689865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750689865 |
Entity Type | Individual |
Full Name | LISA ELLIS |
Credential | PA-C |
Practice Address |
435 2nd Ave 2nd Floor New York NY 10010-3101 |
Practice Telephone | 2127266822 |
Mailing Telephone | 9178221751 |
Enumeration Date | 2011-03-14 |
Last Update Date | 2014-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
014613-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174074215 | Lisa Ellis | Social Worker | 19 4th Ave Sw Ste 2, Conrad, MT 59425-2339 | 2016-10-24 |
1255622627 | Lisa Susan Ellis | Occupational Therapist | 1552 Briar Hill Rd, Gladwyne, PA 19035-1203 | 2011-04-20 |
1093020083 | Lisa O'neill Ellis | Chiropractor | 210 S Greenville Ave, Suite 200, Richardson, TX 75081-4103 | 2010-08-13 |
1487892485 | Lisa A Ellis | Early Intervention Provider Agency | 309 S Fair St, Champaign, IL 61821-3122 | 2009-01-28 |
1902042773 | Lisa Marie Ellis | Acupuncturist | 1212 Se Powell Blvd, Suite C, Portland, OR 97202-2460 | 2008-12-29 |
1841460359 | Lisa K Ellis | Physical Therapist | 600 Gault Ave S, Fort Payne, AL 35967-1626 | 2008-03-11 |
1285271619 | Lisa Jane Ellis | Registered Nurse | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2019-12-04 |
1750948683 | Lisa Ellis | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2019-05-27 |
1063882454 | Lisa Ellis | Occupational Therapist | 3400 Wilson Ave Sw, Grandville, MI 49418 | 2015-09-29 |
1396132056 | Lisa Sue Ellis | Physical Therapist | 2425 Highway 121, Bedford, TX 76021-5011 | 2015-04-21 |
Street Address |
435 2ND AVE 2ND FLOOR |
City | NEW YORK |
State | NY |
Zip Code | 10010-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609090349 | Lawrence David Mass | Internal Medicine | 435 2nd Ave, New York, NY 10010-3101 | 2007-04-12 |
1851542658 | Karl Wayne Miller | Physician Assistant | 435 2nd Ave, New York, NY 10010-3101 | 2008-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502768 | Ayodeji Grace Oloke | Counselor | 1133 Broadway, Suite 640, New York, NY 10010 | 2020-09-08 |
1619589553 | Christine Belanga | Student in an Organized Health Care Education/Training Program | 71 West 23rd St, Suite 1400, New York, NY 10010 | 2020-08-21 |
1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
1750911632 | Repair Physical Therapy PC | Clinic/Center | 204 East 25th Street, Suite 1, New York, NY 10010 | 2020-01-20 |
1134789084 | Auth Acupuncture Pllc | Acupuncturist | 20 W.22nd St. Ground Floor, New York, NY 10010 | 2019-06-13 |
1649837113 | Metro Community Health Centers, Inc | Clinic/Center | 335 East 24th Street, Suite 1b, New York, NY 10010 | 2019-05-21 |
1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
Find all providers in zip 10010 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
Find all providers in NEW YORK |
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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.