Jonathan Phillip Ellant

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

195706 Issued in NY

Practice address

125 Kennedy Dr Ste 400
Hauppauge, NY 11788-4017

Phone

(631) 265-8780

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Tufts University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Union Health Center IncGroup PAC ID 1951290204, 33 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: jellant68880@northwell.direct-ci.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.

• Sight Medical Doctors PLLC

  • Ophthalmology Physician
  • Hauppauge, NY
  • NPI 1487077483
  Medicare reassignment Care Compare group NPD
• Union Health Center, Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1871639989
  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Ophthalmology

  NPD
• Sight Medical Doctors PLLC

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, NY
  • NPI 1730040700
  NPD
• Union Health Center

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013900315
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1306918669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168969",
            "telephone_number": "631-265-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR STE 400",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884017",
            "telephone_number": "631-265-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLANT",
        "first_name": "JONATHAN",
        "middle_name": "PHILLIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "195706",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "195706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Einig
• Amy L Eisenberg, FNP
• Lauren Michelle Elbertson, M.S., LBA, BCBA
• Elevate Massage & Bodyworks Corp
• Eliot L. Birnbaum MD PC
• Susan O'Keeffe Ellis, LCSW-R
• Princess Emezu
• Emi Imaging
• Empire Vision Center Inc
• Empowering Journeys LMSW PLLC

• Ophthalmology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.