LISA ELLIS


Address: 435 2nd Ave, 2nd Floor, New York, NY 10010-3101
Phone: 2127266822

LISA ELLIS (NPI# 1750689865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers LISA ELLIS

NPI Name Taxonomy Address Enumeration
1174074215 Lisa Ellis Social Worker 19 4th Ave Sw Ste 2, Conrad, MT 59425-2339 2016-10-24
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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

Office Location

Street Address 435 2ND AVE
2ND FLOOR
City NEW YORK
State NY
Zip Code 10010-3101

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

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.

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