Michael W Elice, M.D.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

132579 Issued in NY

Practice address

80 Crossways Park Dr
Suite 200
Woodbury, NY 11797-2047

Phone

(516) 802-5028

Fax

(516) 802-5027

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: Allergy/Immunology

Education

Chicago College of Medicine and Surgery, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael W. Elice MD, PLLC

  • Allergy Physician
  • Woodbury, NY
  • NPI 1649678780
  Medicare reassignment Authorized official
• Aim Integrated Medicine

  • Allergy Physician
  • Woodbury, NY
  • NPI 1194127373
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1114099710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CROSSWAYS PARK DR",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972047",
            "telephone_number": "516-802-5028",
            "fax_number": "516-802-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CROSSWAYS PARK DR",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972047",
            "telephone_number": "516-802-5028",
            "fax_number": "516-802-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELICE",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "132579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Education-Relief, Inc.
• Bruce L Edwards, MD
• Douglas Lawrence Egan, PH.D.
• Kerry Ellen Egan, SLPD, CCC-SLP
• David Ehrlich
• Alicia M Elman, M.A.
• Emily S. Brooks, MD PC
• Endless Consulting Corp
• Envision Beyond Counseling LLC
• Eric a. Diamond MD PC

• Pediatric Neurodevelopmental Disabilities Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Pediatric Neurodevelopmental Disabilities Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.