Active NPI
Christine Ellie, DPM
- Foot & Ankle Surgery Podiatrist
- New York, NY
National Provider Identifier
1134442932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 6402
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6402 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Bone and Joint Specialists, PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Physical Therapist
- New York, NY
- NPI 1811060619
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.