Johnice Toni Ellison, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

22556885 Issued in NY

Practice address

4 Leadore LN
Pomona, NY 10970-3617

Phone

(845) 629-0314

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1134430507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LEADORE LN",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703617",
            "telephone_number": "845-629-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LEADORE LN",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703617",
            "telephone_number": "845-629-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JOHNICE",
        "middle_name": "TONI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22556885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvestre Duplan
• Mona Lynn Dworkin, M.A.
• Early Impact Therapy LLC
• Rachel S Eisenberger, MA-SLP-CFY
• Yehuda David Eliezri, M.D.
• Encore Physical Therapy PC
• Endocrine Associates of Rockland, LLP
• Iris R Epstein, R.D.CDN
• Eric Goldman, DC PC
• Essential Medical PLLC

• Registered Nurse in Pomona, NY
• Providers in Pomona, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.