Individual provider Active NPI

Elissa L. Ash, M.D.

  • Neurology Physician
  • Jericho, NY
National Provider Identifier
1609804053
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
223152 Issued in NY
Practice address
278 Birchwood Park Dr
Jericho, NY 11753-2307
Phone
(212) 795-8779
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 48964 KY
Neurology Physician 2084N0400X 223152 NY Primary

Addresses

Primary practice location

278 Birchwood Park Dr
Jericho, NY 11753-2307

Mailing address

278 Birchwood Park Dr
Jericho, NY 11753-2307
Phone (212) 795-8779

Other identifiers 2

IdentifierTypeStateIssuer
02717251MedicaidNY
7100397370MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051208000381 NY Practitioner - NeurologyPractitioner - Psychiatry 8921029745 Reassigns benefits to 3 organizations
I20160516000477 KY Practitioner - Neurology 8921029745 Reassigns benefits to 1 organization
I20200430000328 MO Practitioner - Neurology 8921029745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Aco Clinical Services Inc Neurology CurrentSince Feb 23, 2020 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 3, 2016 Accepting new patients
Rochester General Hospital CurrentSince Feb 3, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 3, 2016 Accepting new patients
Newark Wayne Community Hospital CurrentSince Feb 3, 2016 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Jun 30, 2022 Accepting new patients
Rochester General Hospital Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 30, 2022 Accepting new patients
Rochester General Hospital CurrentSince Feb 3, 2016 Accepting new patients
Saint Mary'S Health Services Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients
Trustees of Columbia University in the City of New York Neurology Past Accepting new patients

Locations

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1609804053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532307",
            "telephone_number": "212-795-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BIRCHWOOD PARK DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532307",
            "telephone_number": "212-795-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "ELISSA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "48964",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "223152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717251",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100397370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.