Ellyse Damiano, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

019528 Issued in NY

Practice address

285 Sills Rd Ste D
East Patchogue, NY 11772-4869

Phone

(631) 438-0777

NPI assigned

Feb 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellyse Cipriano Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care of New York PLLCGroup PAC ID 2466816525, 11 clinicians

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: urgentcareofny.ellysedamiano@156424.advancedmd-direct.com

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.

• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group
• Urgent Care of New York PLLC

  • Urgent Care Clinic/Center
  • Centereach, NY
  • NPI 1962181925
  Medicare reassignment Care Compare group
• Excel Urgent Care of East Northport, PLLC

  • Urgent Care Clinic/Center
  • East Northport, NY
  • NPI 1881978021
  Medicare reassignment
• Excel Urgent Care of Nesconset, PLLC

  • Urgent Care Clinic/Center
  • Nesconset, NY
  • NPI 1851679252
  Medicare reassignment
• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment
• Siena Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Smithtown, NY
  • NPI 1356507099
  Medicare reassignment
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1972088086
  NPD
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1235598178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD STE D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD STE D",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-438-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANO",
        "first_name": "ELLYSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLYSE",
            "last_name": "CIPRIANO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kieran A Curry, PTA
• Jennifer M Cushman, MD
• Viviana Rosa Dadd, NP
• Neddy Louise Dallego
• John Joseph Dalton, PA-C
• Katelynn Damico, LCSW
• Mallory R Datz
• Lauren Ann Davidson, RN
• Rodney E Davis, RPA-C
• Ashley Marie Defournoy, FNP, RN

• Physician Assistant in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.