Elyse S. Fine, C.P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F380809-1 Issued in NY

Practice address

121 Avenue of the Americas
New York, NY 10013-1510

Phone

(212) 941-9090

Fax

(212) 941-9614

NPI assigned

Nov 22, 2005

Last updated

Jul 13, 2026By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Door - a Center of Alternatives, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1225778442
  NPD (past)
• The Door - a Center of Alternatives, Inc.

  • Pediatric Adolescent Medicine Physician
  • New York, NY
  • NPI 1679620090
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629051818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W 80TH ST",
            "address_2": "APT. #E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246327",
            "telephone_number": "212-874-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131510",
            "telephone_number": "212-941-9090",
            "fax_number": "212-941-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "ELYSE",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380809-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02359286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Fine, M.D., PH.D
• Beth Amy Fine, MA
• David Graham Fine, LMSW
• Elisha Fine, LMSW
• Elizabeth G Fine, LCSW
• Emily Fine, MD,MPH
• Eric Fine, LCSW,R
• Eugene M Fine, MD
• Howard A. Fine, M.D.
• Jeffrey Fine, LCSW, MS

• Pediatric Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.