Active NPI
Ellise S. Delphin, M.D.
- Anesthesiology Physician
- Bronx, NY
National Provider Identifier
1437181997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA07536100
- Practice address
- 111 East 210 Street, Anesthesiology
Montefiore Medical Center
Bronx, NY 10467 - Phone
- (718) 920-4316
- Fax
- (718) 881-2245
- NPI assigned
- Jul 7, 2006
- 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 | 25MA07536100 | NJ | Primary |
Addresses
Primary practice location
111 East 210 Street, Anesthesiology
Montefiore Medical Center
Bronx, NY 10467
Mailing address
111 East 210 Street, Anesthesiology
Montefiore Medical Center
Bronx, NY 10467
Phone (718) 920-4316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6715508 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07536100 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
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- New York, NY
- NPI 1972553139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1437181997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST 210 STREET, ANESTHESIOLOGY",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4316",
"fax_number": "718-881-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST 210 STREET, ANESTHESIOLOGY",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4316",
"fax_number": "718-881-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELPHIN",
"first_name": "ELLISE",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07536100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6715508",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.