Rachel Ellis MD PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

RACHEL ELLIS MD PLLC

Practice address

358 S Oyster Bay Rd
Hicksville, NY 11801-3508

Phone

(516) 822-7546

Fax

(516) 937-7546

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Fremder Ellis, MDNPI 1295873826

Title

Owner

Phone

(516) 822-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Rachel Fremder Ellis, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Hicksville, NY
  • NPI 1295873826

  Ophthalmology

  Medicare reassignment NPD Authorized official
• Jeffrey Ira Ellis, M.D.

  • Procedural Dermatology Physician
  • Hicksville, NY
  • NPI 1285748293
  NPD (past)
• Amy Elizabeth Slear, MD

  • Dermatology Physician
  • Hicksville, NY
  • NPI 1356354203
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1245507961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-822-7546",
            "fax_number": "516-937-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-822-7546",
            "fax_number": "516-937-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL ELLIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "FREMDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-822-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Qureshi
• Julie Qureshi, LCSW
• Zainab I Qureshi, CCC-SLP
• Valerie Rabinovich, MD
• Brian Foster Rabinowitz, MD
• Natan Rafaelov, PHARM. D.
• Philip M Rafiy, MD
• Arif Rahman, RN
• Sabrina Nicole Raineri, AUD
• Prinjal Pravinchandra Raj

• Ophthalmic Plastic and Reconstructive Surgery Physician in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.