ELLIS HOSPITAL (NPI# 1902386485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902386485 |
| Entity Type | Organization |
| Organization Name | ELLIS HOSPITAL |
| Other Organization Name | ELLIS PRIMARY CARE & FAMILY MEDICINE RESIDENCY PROGRAM |
| Practice Address |
624 Mcclellan St Ste 101 Schenectady NY 12304-1020 |
| Practice Telephone | 5183822260 |
| Mailing Telephone | 5183822260 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| 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 Primary Care & Family Medicine Residency Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548823 | Ellis Hospital | Clinic/Center | 200 Harborside Drive, Suite 101, Schenectady, NY 12305-1020 | 2018-08-16 |
| 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 |
| 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 |
624 MCCLELLAN ST STE 101 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518932458 | Juanito Antonio Reyes | Family Medicine | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2006-02-22 |
| 1043833106 | Waleed Ijaz | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1497378558 | Rebecca Hublall | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1215550371 | Lanice Thomas | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1225651383 | Kadeeja Fredankey | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1124641287 | Aliah Brianna Joslin | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1942823000 | Gregory Drew | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1760005821 | Tolulope Stone | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1770106833 | Romel Persaud | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| 1689297749 | Terence Meehan | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2020-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548823 | Ellis Hospital | Clinic/Center | 200 Harborside Drive, Suite 101, Schenectady, NY 12305-1020 | 2018-08-16 |
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 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 | 12304 |
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.