ELLISTON PEDIATRICS (NPI# 1497369615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497369615 |
| Entity Type | Organization |
| Organization Name | ELLISTON PEDIATRICS |
| Practice Address |
5110 30th Ave Apt 3m Woodside NY 11377-7945 |
| Practice Telephone | 9177462455 |
| Practice Fax Number | 9177469649 |
| Mailing Telephone | 9177462455 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | JAIME HILLIARD (PRACTICE MANAGER) |
| Authorized Official Telephone | 4432867750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELLISTON PEDIATRICS, PLLC | 5110 30th Avenue, Apt 3m, Woodside, New York 11377 |
| Street Address |
5110 30TH AVE APT 3M |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-7945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023227659 | Andrew Leon Elliston | Pediatrics | 5110 30th Ave Apt 3m, Woodside, NY 11377-7945 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366734436 | Zulfiqar Khalique | Pediatrics | 4757 43rd St, Woodside, NY 11377-6243 | 2011-05-09 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1023227659 | Andrew Leon Elliston | Pediatrics | 5110 30th Ave Apt 3m, Woodside, NY 11377-7945 | 2007-05-21 |
| 1942396858 | Magdalena Tan Rodriguez | Pediatrics | 5053 Newtown Rd, Woodside, NY 11377-1731 | 2006-10-05 |
| 1366450884 | Chung Hee Yoon | Pediatrics | 4008 73rd St, Woodside, NY 11377-3051 | 2006-08-03 |
| 1346200151 | Caesar Cruz Preposi | Pediatrics | 6820 Roosevelt Ave, Woodside, NY 11377-2926 | 2006-03-24 |
| 1750353124 | Bum Y Park | Pediatrics | 4010 70th St, Woodside, NY 11377-2930 | 2006-02-01 |
| 1629057633 | Anca Madalina Barbulescu | Pediatrics | 5314 Roosevelt Ave, 2nd Floor, Woodside, NY 11377-4239 | 2006-01-10 |
| 1114361482 | Community Pediatrician, Pllc | Pediatrics | 5314 Roosevelt Ave, 2nd Floor, Woodside, NY 11377-4239 | 2013-04-17 |
| 1346385069 | Altagrace Belmar | Pediatrics | 3096 51st St, Woodside, NY 11377-1457 | 2007-02-20 |
| Find all providers in WOODSIDE | ||||
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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.