Active NPI
Elena O'Rourke, FNP
- Nurse Practitioner
- New York, NY
National Provider Identifier
1609260025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 339972
- Practice address
- 1176 5TH Ave
New York, NY 10029-6503 - Phone
- (212) 241-3300
- Fax
- (646) 537-8610
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Oncology Registered Nurse | 163WP0218X | 643958 | NY | |
| Nurse Practitioner | 363L00000X | 339972 | NY | Primary |
Addresses
Primary practice location
1176 5TH Ave
New York, NY 10029-6503
Mailing address
1 Gustave L Levy PL
Box 3000
New York, NY 10029-6504
Phone (212) 987-3100
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643958 | NY | MD | Pediatric Oncology Registered Nurse |
| 339972 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1609260025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "BOX 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "212-987-3100",
"fax_number": "212-731-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-3300",
"fax_number": "646-537-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0218X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatric Oncology",
"state": "NY",
"license": "643958",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "339972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.