Organization Active NPI

Ellite Medico LLC

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1285552299
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELLITE MEDICO LLC
Practice address
1710 W 4TH St Apt D1
Brooklyn, NY 11223-1552
Phone
(646) 907-8491
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Medley Fenton, MD
Title
Ceo
Phone
(646) 907-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1710 W 4TH St Apt D1
Brooklyn, NY 11223-1552

Mailing address

1710 W 4TH St Apt D1
Brooklyn, NY 11223-1552
Phone (646) 907-8491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1285552299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W 4TH ST APT D1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231552",
            "telephone_number": "646-907-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 4TH ST APT D1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231552",
            "telephone_number": "646-907-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLITE MEDICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "MEDLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-907-8491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.