KARLENE ELLIS


Address: 760 Broadway, Brooklyn, NY 11206-5317
Phone: 7189638000

KARLENE ELLIS (NPI# 1578863270) 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) 1578863270
Entity Type Individual
Full Name KARLENE ELLIS
Practice Address 760 Broadway
Brooklyn
NY 11206-5317
Practice Telephone 7189638000
Enumeration Date 2010-10-27
Last Update Date 2018-04-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		006829 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 760 BROADWAY
City BROOKLYN
State NY
Zip Code 11206-5317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821093261 Steven Gounardes Dentist 760 Broadway, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 2005-06-14
1881295350 George Thomas Skevas Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5383 2020-11-02
1659971752 Corinne Elizabeth Carpenter Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-28
1467052613 Valeria Labastida Torres Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-27
1801493507 Sofia Murillo Physician Assistant 760 Broadway, Brooklyn, NY 11206-5317 2020-10-06
1699372565 Micaela Austin Internal Medicine 760 Broadway, Brooklyn, NY 11206-5383 2020-10-05
1063019115 Ammar Alwardat Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-10-01
1295346542 Johanne Blount Nurse Practitioner 760 Broadway, Brooklyn, NY 11206-5383 2020-08-11
1184234056 Syed Salman Hamid Hashmi Student in an Organized Health Care Education/Training Program 760 Broadway, Brooklyn, NY 11206-5317 2020-08-05
1316557267 Alexandra Lukens Bennett Social Worker 760 Broadway, Brooklyn, NY 11206-5317 2020-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255957684 Armyda Montoya Novoa Student in an Organized Health Care Education/Training Program Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 2020-06-22
1528684107 Elizabeth Nana Ama Sarporma Osei-kuffuor Student in an Organized Health Care Education/Training Program 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 2020-06-19
1356965057 Ishan Poudel Student in an Organized Health Care Education/Training Program 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 2020-05-29
1538721303 Osarodion Osa Igbinomwanhia Student in an Organized Health Care Education/Training Program Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 2019-07-02
1043872955 Olajide A Sowemimo Student in an Organized Health Care Education/Training Program Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 2019-07-01
1184284895 Jacqueline So Student in an Organized Health Care Education/Training Program 760 Broadway, Room 2c319, Brooklyn, NY 11206 2019-06-14
1326607722 Nicole Chamak Speech-Language Pathologist Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 2019-06-10
1831660356 Sheena Erica Purcell Registered Nurse White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 2018-12-10
1922578145 Robert A Rodriguez Social Worker 630 Fushing Ave, Brooklyn, NY 11206 2018-11-30
1346724085 Evelyn Wreh Larbie Licensed Practical Nurse White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 2018-09-19
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831736602 Ll Physician Assistant PC Physician Assistant 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 2019-11-29
1447716824 Laura Holmes Physician Assistant 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 2019-02-11
1497206981 Viktoriya Sionov Physician Assistant 6522 Avenue M, Brooklyn, NY 11234-5600 2016-10-19
1003212994 Precision Physicians Assistant Physician Assistant 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 2014-11-05
1417386640 Alexandra Demeglio Physician Assistant 1357 Ovington Ave, Brooklyn, NY 11219-6111 2013-11-07
1659706570 Lyudmila Trubetsky Physician Assistant 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 2013-09-10
1831531094 Julio Alberto Chau Physician Assistant 173 Clinton St Apt B, Brooklyn, NY 11201-5640 2013-07-29
1164799508 James Earl La Voy Physician Assistant 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 2011-11-30
1629363486 Michael Joseph Levine Physician Assistant 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 2011-06-09
1134411630 Suzanne Cassandra Forde Physician Assistant 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 2011-05-03
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Competitor

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City BROOKLYN
Zip Code 11206

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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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