Merlan M Ellis (NPI# 1558651703, PAC ID# 3072825488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1558651703 |
| PAC ID by PECOS | 3072825488 |
| Professional Enrollment ID | I20150626001216 |
| Full Name | Merlan M Ellis |
| Organization Legal Name | LIVINGSTON FOOT CARE SPECIALISTS, P.C. |
| Address |
10 Medical Plz Suite 202 Glen Cove NY 11542-2101 |
| Phone Number | 5168095873 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5799708590 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330181 | NS/LIJ HS-NORTH SHORE UNIV HOSP AT GLEN COVE |
| Address | Phone | Organization |
|---|---|---|
| 10 Medical Plz, Suite 202, Glen Cove, NY 11542-2101 | 5168095873 | LIVINGSTON FOOT CARE SPECIALISTS, P.C. |
| 1685 Newbridge Rd, North Bellmore, NY 11710-1603 | 5168260103 | LIVINGSTON FOOT CARE SPECIALISTS, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | LIVINGSTON FOOT CARE SPECIALISTS, P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gagandeep Sharma | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Brandon P Naing | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Edward L D Amico | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Douglas W Livingston | Podiatry | Livingston Foot Care Specialists, P.C. | 10 Medical Plz, Suite 202, Glen Cove, NY 11542-2101 |
| Alison Ashley Graziano | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Leon B Livingston | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Eugene M Manno | Podiatry | Livingston Foot Care Specialists, P.C. | 1685 Newbridge Rd, North Bellmore, NY 11710-1603 |
| Street Address |
10 MEDICAL PLZ SUITE 202 |
| City | GLEN COVE |
| State | NY |
| Zip | 11542-2101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Reyes | Internal Medicine | North Shore-lij Medical PC | 10 Medical Plz, Suite 209, Glen Cove, NY 11542-2101 |
| Gerard Francis Vitale | Vascular Surgery | 10 Medical Plz, Suite 305, Glen Cove, NY 11542-2101 | |
| Neal Hakimi | Critical Care (intensivists) | North Shore-lij Medical PC | 10 Medical Plz, Suite 202, Glen Cove, NY 11542-2101 |
| Douglas W Livingston | Podiatry | Livingston Foot Care Specialists, P.C. | 10 Medical Plz, Suite 202, Glen Cove, NY 11542-2101 |
| Joseph I Lopez | Orthopedic Surgery | 10 Medical Plz, Suite 103, Glen Cove, NY 11542-2101 | |
| Michael John Yunakov | Dermatology | 10 Medical Plz, Suite 102, Glen Cove, NY 11542-2101 | |
| Eric M Hochberg | Urology | Integrated Medical Professionals Pllc | 10 Medical Plz, Suite 206, Glen Cove, NY 11542-2101 |
| Susan Haverlin | Nurse Practitioner | North Shore-lij Medical PC | 10 Medical Plz, Suite 302, Glen Cove, NY 11542-2101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Lombardi | Psychologist, Clinical | 10 Beech Ct, Glen Cove, NY 11542-1426 | |
| Michael L. Melamed | Psychiatry | 11 Jodi Ct, Glen Cove, NY 11542-1470 | |
| Barbara S Cohen | Psychologist, Clinical | 8 Woodland Rd, Glen Cove, NY 11542-1727 | |
| Patricia M Leslie | Physical Therapy | Physical Therapy Rehab@home PC | 36 Northfield Rd, Glen Cove, NY 11542-1742 |
| Victoria D Bracco | Podiatry | 16 Mckinley Pl, Glen Cove, NY 11542-1927 | |
| Russell H Samuel | General Surgery | The Med Station PC | 104 Forest Ave, Glen Cove, NY 11542-2015 |
| Cynthia I Lett | Physical Therapy | Glen Medical Health, PC | 154 Forest Ave, Glen Cove, NY 11542-2023 |
| Loretta Mary Siegel | Family Medicine | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Alan N Siegel | Chiropractic | 154 Forest Ave, Glen Cove, NY 11542-2023 | |
| Peter J Kurzweil | Internal Medicine | 235 Forest Ave, Glen Cove, NY 11542-2034 | |
| Find all physicians in zip 11542 | |||
| City | GLEN COVE |
| Zip Code | 11542 |
| Specialty | PODIATRY |
| City + Specialty | GLEN COVE + PODIATRY |
Please comment or provide details below to improve the information on Merlan M Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.