Ellis Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4601001N Issued in NY

Legal business name

ELLIS HOSPITAL

Doing business as

Ellis Residential and Rehabilitation Center

Practice address

600 McClellan St
Schenectady, NY 12304-1009

Phone

(518) 382-2250

Fax

(518) 382-2206

NPI assigned

Oct 31, 2005

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Connolly

Title

Ceo

Phone

(518) 243-4141

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Ellis Residential and Rehabilitation Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eyad Aldaas, M.D.

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1609131515
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1215928148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-382-2250",
            "fax_number": "518-382-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-382-2250",
            "fax_number": "518-382-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-243-4141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4601001N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0101",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01146405",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000400009002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIPIRE BC",
            "identifier": "007940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Residential and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Elliott, LCSW-R
• Ellis Hospital (Ellis Primary Care Plus)
• Ellis Hospital (Ellis Internal Medicine)
• Ellis Hospital (Ellis Medicine - Infectious Disease)
• Ellis Hospital (Ellis Hospital McClellan St. Health Center)
• Ellis Hospital (Ellis Medicine Urology)
• Ellis Hospital (Ellis Primary Care - Nott Street)
• Ellis Hospital (Ellis Cardiothoracic Surgery)
• Ellis Hospital (Ellis Hospital - Inpatient Psychiatry)
• Ellis Hospital (Ellis General Surgery)

• Skilled Nursing Facility in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.