Active NPI
Nandi Lee-Ellis, MD
- Anesthesiology Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08948700
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (973) 365-4300
- Fax
- (845) 357-5777
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08948700 | NJ | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
100 Route 59
Suite 105
Suffern, NY 10901-4927
Phone (845) 357-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0269930 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
Locations
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Anesthesiology
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432857600000",
"number": "1376842740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 105",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5775",
"fax_number": "845-357-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "973-365-4300",
"fax_number": "845-357-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-ELLIS",
"first_name": "NANDI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2015-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08948700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269930",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.