CARL ELLISTON (NPI# 1790386399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790386399 |
| Entity Type | Individual |
| Full Name | CARL ELLISTON |
| Credential | DABR |
| Practice Address |
622 W 168th St Department of Radiation Oncology New York NY 10032 |
| Mailing Address |
153 Manhasset Ave Manhasset NY 11030-2219 |
| Practice Telephone | 2123054295 |
| Mailing Telephone | 9175012367 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0205X |
Radiology Specialization: Radiological Physics |
000507 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
622 W 168TH ST DEPARTMENT OF RADIATION ONCOLOGY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608493 | Eastside Orthotics and Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 622 W 168th St, Vc333, New York, NY 10032 | 2005-06-13 |
| 1275140758 | Alyssa Hope Diaz | Nurse Practitioner | 622 W 168th St, New York, NY 10032-3720 | 2020-09-28 |
| 1295341873 | Ann Mchugh | Obstetrics & Gynecology | 622 W 168th St, New York, NY 10032-3720 | 2020-09-19 |
| 1821604778 | Kellie Kolessar | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-09-16 |
| 1912525833 | Fanny Ok | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-07-07 |
| 1982221644 | Ashley D Gandhi | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-06-29 |
| 1891311080 | Demond Harrison | Respiratory Therapist, Registered | 622 W 168th St, New York, NY 10032-3720 | 2020-06-23 |
| 1073136115 | Dennis Man | Pharmacist | 622 W 168th St, New York, NY 10032-3720 | 2020-05-23 |
| 1205457801 | Adam Sands | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-05-05 |
| 1407477102 | Julia Anne Tepper | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 2085R0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiological Physics |
| A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740512581 | Yeh-chi Lo | Radiology | One Gustave Levy Pl. 1236, 1184 Fifth Ave, New York, NY 10029 | 2010-02-04 |
| 1184655896 | Beth Gail Wadler | Radiology | 160 E 34th St Fl 3, New York, NY 10016-4744 | 2006-07-05 |
| 1225069867 | Robert Justin Burgess | Radiology | 1111 Amsterdam Ave., New York, NY 10025 | 2006-07-05 |
| 1417988106 | Maria Bouzouki | Radiology | 1st Ave @ 16th Street, New York, NY 10003 | 2006-07-05 |
| 1821034935 | Susan Krysiewicz | Radiology | First Avenue and 16th Steet, New York, NY 10003 | 2006-06-20 |
| 1790732451 | Roy A Holliday | Radiology | 310 East 14th Street, New York, NY 10003-4201 | 2006-05-28 |
| 1871853663 | Yongguang Liang | Radiology | 177 Fort Washington Ave, Milstein Bldg Room #3-265b, New York, NY 10032-3733 | 2012-05-25 |
| 1598813271 | Central Park Women Imaging | Radiology | 1790 Broadway, 9th Floor, New York, NY 10019-1412 | 2007-01-08 |
| 1124176789 | New York Radiogoly Associate | Radiology | 140 4th Ave, Lower Level, New York, NY 10003-4901 | 2007-01-08 |
| 1174554042 | Peter I Maslin | Radiology | 1000 10th Avenue, New York, NY 10019 | 2006-07-06 |
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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.