Individual provider Active NPI

Christine Ellie, DPM

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1134442932
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
6402 Issued in NY
Practice address
67 W 55TH St Ste 205
New York, NY 10019
Phone
(212) 759-4553
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 6402 NY Primary

Addresses

Primary practice location

67 W 55TH St Ste 205
New York, NY 10019

Mailing address

261 Hudson St Apt 3a
New York, NY 10013-1561

Other practice location 1

130 E 67th St
New York, NY 10065-6136
Phone (212) 759-4553

Other practice location 2

370 Lexington Ave Rm 614
New York, NY 10017-6591
Phone (212) 759-4553

Other names 1

  • Dr. Christine E Kudla Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6402NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Bone and Joint Specialists, PLLC PastSince Jun 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cellie69070@northwell.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1134442932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 HUDSON ST APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W 55TH ST STE 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-759-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 E 67th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656136",
            "country_code": "US",
            "telephone_number": "212-759-4553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Lexington Ave Rm 614",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176591",
            "country_code": "US",
            "telephone_number": "212-759-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "6402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KUDLA",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.