DR. CARMEN JAY ELLIE JR.


Address: 191 N Main St, Wellsville, NY 14895-1150
Phone: 5852351514

DR. CARMEN JAY ELLIE JR. (NPI# 1922042225) 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) 1922042225
Entity Type Individual
Full Name DR. CARMEN JAY ELLIE JR.
Credential MD
Practice Address 191 N Main St
Wellsville
NY 14895-1150
Mailing Address 345 Country Woods Ln
Rochester
NY 14626-4701
Practice Telephone 5852351514
Practice Fax Number 5854264997
Mailing Telephone 5852259230
Mailing Fax Number 5852259739
Enumeration Date 2006-06-16
Last Update Date 2011-01-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
191341-1 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY RAILROAD P00392597 01
NY BCBS 000523980003 01
NY 01487365 05
NY RRM LEGACY# 110179566 01

Office Location

Street Address 191 N MAIN ST
City WELLSVILLE
State NY
Zip Code 14895-1150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437798675 Selina Schell Occupational Therapy Assistant 191 N Main St, Wellsville, NY 14895-1150 2020-01-06
1265082002 Chelsea Leahy Physical Therapist 191 N Main St, Wellsville, NY 14895-1150 2019-09-13
1003464801 Kaitlyn Michele Cooney Physical Therapist 191 N Main St, Wellsville, NY 14895-1150 2019-08-27
1184270803 Kayla Jade Williams Nurse Practitioner 191 N Main St, Wellsville, NY 14895-1150 2019-08-18
1710531694 Katlyn Kelly Nutritionist 191 N Main St, Wellsville, NY 14895-1150 2019-07-29
1831657378 Travis James Ely Physician Assistant 191 N Main St, Wellsville, NY 14895-1150 2019-03-04
1821573395 Daniel Sabins Pharmacist 191 N Main St, Wellsville, NY 14895-1150 2018-10-01
1194243238 Yohetsor Ometse Hargoe Nurse Practitioner 191 N Main St, Wellsville, NY 14895-1150 2017-09-08
1457895518 Michelle Monahan Specialist 191 N Main St, Wellsville, NY 14895-1150 2016-12-08
1770034928 Melissa Falandys Specialist 191 N Main St, Wellsville, NY 14895-1150 2016-10-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245844992 Sadie R Cole Registered Nurse 4220 Route 417 West, Wellsville, NY 14895 2020-09-01
1376102558 Theresa L. Golish Home Health Aide 125 South Broad St., Wellsville, NY 14895 2019-06-11
1104374339 Christina Scott Counselor 4220 Ny 417, Wellsville, NY 14895 2016-09-16
1740626498 Jami Nichole Gariepy Occupational Therapist 95 N Main Street, Wellsville, NY 14895 2013-05-21
1548606999 Shauna Lynne Mcconnell Registered Nurse 94 N. Main Street, Suite 4, Wellsville, NY 14895 2013-05-13
1134497795 Rose Mary Vossler Registered Nurse 50-98 School Street, Wellsville, NY 14895 2011-12-09
1487809083 Shannon M Mooney Physician Assistant 13 Loder St, Wellsville, NY 14895 2008-11-24
1215108253 Altrasound Services Inc Radiologic Technologist 12 Martin St. 2nd Floor, Wellsville, NY 14895 2008-03-18
1083701882 Kelly Lynn Tincher Physical Therapist 191 North Main St., Wellsville, NY 14895 2006-10-05
1295843043 Joseph Thomas Felsen Internal Medicine 243 Maple Ave, Wellsville, NY 14895 2006-08-29
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083659106 Tamara Ann Prull Emergency Medicine 191 N Main St, Wellsville, NY 14895-1150 2006-06-20
1700829074 Delphi Emergency Physician Services Emergency Medicine 191 N Main St, Wellsville, NY 14895-1150 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588129852 Steve Lazo Emergency Medicine 3210 Greenpoint Ave, Long Island City, NY 11101-2010 2019-01-31
1730667734 Lagrange Fire District Emergency Medicine 504 Freedom Plains Road, Poughkeepsie, NY 12603-2678 2018-08-01
1407217631 Debonotropepamdpc Emergency Medicine 24 Charter Ave, Dix Hills, NY 11746-6447 2016-03-16
1699013946 Medfirst Urgent Care Emergency Medicine 1751 Sheridan Dr, Tonawanda, NY 14223 2013-01-22
1356689855 Medfirst Urgent Care, Pllc Emergency Medicine 3190 Niagara Falls Blvd, Amherst, NY 14228-1639 2013-01-18
1821341744 Stat Medical Usa Emergency Medicine 1943 Vincent Ln, Syosset, NY 11791-9629 2012-10-16
1104132190 Kildare Clarke Emergency Medicine 6 Hazelton Dr, White Plains, NY 10605-3805 2010-08-27
1659682219 Mark Kenneth Ellis Emergency Medicine 2 5th Ave Apt 2d, New York, NY 10011-8832 2010-06-29
1497076806 Jose Luis Romero Emergency Medicine 3636 Waldo Ave Apt 4n, Bronx, NY 10463-2256 2010-06-21
1619109121 Matthew J. Krauthamer Emergency Medicine 16 Capri Ct, Dix Hills, NY 11746-6410 2009-08-17
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Competitor

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City WELLSVILLE
Zip Code 14895

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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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