ELLIS HOSPITAL (NPI# 1528548823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528548823 |
| Entity Type | Organization |
| Organization Name | ELLIS HOSPITAL |
| Other Organization Name | ELLIS MEDICINE AT MOHAWK HARBOR - PRIMARY CARE |
| Practice Address |
200 Harborside Drive Suite 101 Schenectady NY 12305-1020 |
| Practice Telephone | 5188814700 |
| Mailing Telephone | 5188814700 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | PAUL A MILTON (CEO) |
| Authorized Official Telephone | 5182434175 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLIS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4601001H | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ellis Medicine at Mohawk Harbor - Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255190 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 202, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1871073353 | Ellis Hospital | Clinic/Center | 990 State Route 67 Ste 101, Ballston Spa, NY 12020-3603 | 2018-08-15 |
| 1972077386 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-01-18 |
| 1639659931 | Ellis Hospital | Clinic/Center | 103 Sitterly Rd Ste 2300, Halfmoon, NY 12065-5646 | 2018-08-16 |
| 1548740848 | Ellis Hospital | Clinic/Center | 115 Saratoga Rd Ste 200, Glenville, NY 12302-4224 | 2018-08-16 |
| 1023598331 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste G2, Schenectady, NY 12304-1024 | 2018-08-16 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1902386485 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1881174381 | Ellis Hospital | Clinic/Center | 2537 Route 9, Suite 203, Malta, NY 12020 | 2018-08-15 |
| 1285114777 | Ellis Hospital | Clinic/Center | 1201 Nott St Ste 204, Schenectady, NY 12308 | 2018-08-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ELLIS HOSPITAL | 1101 Nott Street, Schenectady, Ny 12308 |
| New York State Corporations | ELLIS HOSPITAL FOUNDATION, INC. | 1101 Nott Street, Schenectady, Ny 12308 |
| Street Address |
200 HARBORSIDE DRIVE SUITE 101 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12305-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598282527 | Alexa Eugena Cinque | Chiropractor | 252 Union St, Schenectady, NY 12305 | 2017-08-30 |
| 1245778778 | Owanna Akbur | Radiologic Technologist | 752 Bolivar Ave., Torre G-32, Apt. A-2, La Esperilla, SANTO DOMINGO 12305 | 2017-02-04 |
| 1154777514 | Susan Mackert | Social Worker | 530 Franklin St Fl 2, Schenectady, NY 12305 | 2016-05-04 |
| 1285873513 | Kathleen Rzant Sheppard | Occupational Therapist | 25 Lafayette St., Beginnings, Schnectady, NY 12305 | 2009-02-10 |
| 1043461759 | Jane Stephanie Gray | Massage Therapist | 670 Franklin St., Schenectady, NY 12305 | 2008-10-01 |
| 1336283316 | Vision Care Associates | Optometrist | 600 Franklin Street, Suite 101, Schenectady, NY 12305 | 2007-02-16 |
| 1841360740 | Visiting Nurse Service Association of Schenectady County | Home Health | 108 Erie Blvd, Schenectady, NY 12305 | 2006-11-08 |
| 1275631814 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 415 State St Wallace Bldg, Schenectady, NY 12305 | 2006-09-20 |
| 1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
| 1861478786 | Kimberly A Hostig | Social Worker | 426 Franklin St, Schenectady, NY 12305 | 2005-12-22 |
| Find all providers in zip 12305 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255190 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 202, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1023598331 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste G2, Schenectady, NY 12304-1024 | 2018-08-16 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1902386485 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1285114777 | Ellis Hospital | Clinic/Center | 1201 Nott St Ste 204, Schenectady, NY 12308 | 2018-08-15 |
| 1962673327 | Park Place Pediatrics, LLC | Clinic/Center | 701 Union St, Schenectady, NY 12305-1504 | 2008-03-13 |
| 1558569129 | St. Clare's Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2007-07-05 |
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| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12305 |
Please comment or provide details below to improve the information on ELLIS HOSPITAL.
| 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.