ELLIS HOSPITAL (NPI# 1972077386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972077386 |
| Entity Type | Organization |
| Organization Name | ELLIS HOSPITAL |
| Other Organization Name | ELLIS MEDICINE - DIABETES CARE |
| Practice Address |
600 Mcclellan St Schenectady NY 12304-1009 |
| Practice Telephone | 5183475384 |
| Practice Fax Number | 5183822154 |
| Mailing Telephone | 5183475384 |
| Mailing Fax Number | 5183822154 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MARC D. MESICK (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5182434144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ellis Medicine - Diabetes Care | 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 |
| 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 |
| Massachusetts Corporations | ELLIS HOSPITALITY GROUP, INC. | 111 North Main St., Petersham, MA 01366 |
| Virginia Business Entities | Ellis Hospitality Properties LLC | 107 East Main Street, Marion, Virginia 24354 |
| Street Address |
600 MCCLELLAN ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072465 | Vincent J Luvera | Family Medicine | 600 Mcclellan St, St Claires Hospital Wound Care Center, Schenectady, NY 12304-1009 | 2005-09-08 |
| 1376159434 | Megan Ferguson | Physical Therapist | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-09-23 |
| 1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
| 1932735396 | Joelle Lynne Malinowski | Dietitian, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-03-18 |
| 1104464809 | Alison Miller | Social Worker | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2019-12-13 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1790299741 | Regina Donofrio | Respiratory Therapist, Registered | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-11-29 |
| 1528582509 | Hydee J Yonkers | Respiratory Therapist, Certified | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-08-01 |
| 1346761640 | Rahul Kallianpur | Student in an Organized Health Care Education/Training Program | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-06-28 |
| 1295256592 | Matthew Rodda | Student in an Organized Health Care Education/Training Program | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2017-06-28 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
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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.