Individual provider Active NPI

Elena Marcelle, D.M.D.

  • Dentist
  • Troy, NY
National Provider Identifier
1114452653
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046181-1 Issued in NY
Practice address
500 Federal St
Suite 202
Troy, NY 12180-2867
Phone
(518) 272-3221
NPI assigned
Apr 21, 2017
Last updated
Apr 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046181-1 NY Primary

Addresses

Primary practice location

500 Federal St
Suite 202
Troy, NY 12180-2867

Mailing address

500 Federal St
Suite 202
Troy, NY 12180-2867
Phone (518) 272-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046181-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Hudson Oral and Maxillofacial Surgery, PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1114452653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 202",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802867",
            "telephone_number": "518-272-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST",
            "address_2": "SUITE 202",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802867",
            "telephone_number": "518-272-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLE",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046181-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.