ELISSA MICHELLE MARTIN (NPI# 1093204919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093204919 |
| Entity Type | Individual |
| Full Name | ELISSA MICHELLE MARTIN |
| Credential | ANP |
| Practice Address |
310 E Shore Rd Ste 104 Great Neck NY 11023-2432 |
| Practice Telephone | 5168299550 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F306421-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654653 | Elissa E Martin | Nurse Practitioner | 104 Diamond Drive, Anna, OH 45302 | 2006-05-11 |
| 1689223737 | Elissa Bentley Martin | Physical Therapist | 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 | 2019-09-10 |
| Street Address |
310 E SHORE RD STE 104 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187001 | Lauraine Kanders, Np In Adult Health, P.C. | Nurse Practitioner | 7 Somerset Dr S, Great Neck, NY 11020-1821 | 2018-09-13 |
| 1538569405 | Tatiana Portela | Nurse Practitioner | 560 Northern Blvd Ste 203, Great Neck, NY 11021-5113 | 2014-08-28 |
| 1851939193 | Jessica Ann Schillow | Nurse Practitioner | 1010 Northern Blvd, Great Neck, NY 11021-5317 | 2019-12-17 |
| 1255808796 | Stephanie Ragone | Nurse Practitioner | 891 Northern Blvd, Great Neck, NY 11021-5334 | 2018-11-01 |
| 1013461276 | Blayne Manning | Nurse Practitioner | 225 Community Dr, #110, Great Neck, NY 11021-5503 | 2016-08-05 |
| 1972968964 | Heidi Scheinin Berman | Nurse Practitioner | 9 Hillcrest Dr, Great Neck, NY 11021-1721 | 2015-12-18 |
| 1396094157 | Candice Halinski | Nurse Practitioner | 100 Community Dr, Second Floor Nephrology, Great Neck, NY 11021-5501 | 2012-09-06 |
| 1841579877 | Kristen Porreca | Nurse Practitioner | 891 Northern Blvd Ste 203, Great Neck, NY 11021-5305 | 2011-08-08 |
| 1366678476 | Andrea Sannette Adams | Nurse Practitioner | 865 Northern Boulevard, Great Neck, NY 11021 | 2009-06-03 |
| 1639325236 | Dolly Caro | Nurse Practitioner | 200 Community Dr, Great Neck, NY 11021-5504 | 2008-08-14 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on ELISSA MICHELLE MARTIN.
| 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.