Jason Elwell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

256943 Issued in NY

Practice address

22 Red Jacket St
Stony Brook Pediatrics
Dansville, NY 14437-9502

Phone

(585) 335-5200

Fax

(585) 335-5037

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDBAAA
• Direct secure messaging: jason.elwell@sbpeds.eclinicaldirectplus.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.

• Nicholas H. Noyes Memorial Hospital

  • General Acute Care Hospital
  • Dansville, NY
  • NPI 1982625661
  NPD (past)
• Stony Brook Pediatrics, PC

  • Pediatrics Physician
  • Dansville, NY
  • NPI 1841364288
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1366566747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "address_2": "STONY BROOK PEDIATRICS",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "address_2": "STONY BROOK PEDIATRICS",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELWELL",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "256943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Dunac, M.D.
• Sarah S Easton, PNP
• Kathryn Violet Edwards, RN, CPNP
• Mervat Eid, MD
• Cameron Ellis Jr., PA-C
• Kaylee Erwin, RDN
• Christina Evans, PHARM.D
• Jason Neil Evans, D.D.S.
• Margaret Krolczyk Evans, D.D.S.
• Mark P Evans, CRNA

• Pediatrics Physician in Dansville, NY
• Providers in Dansville, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.