Joanne Celeste Ellison, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010716 Issued in NY

Practice address

132 W 125TH St
New York, NY 10027-4439

Phone

(212) 864-0904

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1386954345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 DRY HARBOR RD",
            "address_2": "APT K56",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791531",
            "telephone_number": "718-205-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274439",
            "telephone_number": "212-864-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JOANNE",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010716",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Samuel Ellis, D.M.D.
• Scott J. Ellis, M.D.
• Stephanie Ellis
• Tracey M Ellis, LMHC
• Morgan Ellisberg
• Julia Taylor Ellison, MSN, FNP-C, CMSRN
• Kalin Ellison, MD
• Kate M Ellison
• Lyndsay Ellison
• Thomas Douglas Ellison, MA, CCC-SLP, TSSLD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.