Individual provider Active NPI

Coco W Elle

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1629338496
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1032049161 Issued in NY
Practice address
1736 Pacific St Apt 2a
Brooklyn, NY 11213-1389
Phone
(646) 559-1201
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 711420961 NY
Specialist 174400000X 1032049161 NY Primary

Addresses

Primary practice location

1736 Pacific St Apt 2a
Brooklyn, NY 11213-1389

Mailing address

1736 Pacific St Apt 2a
Brooklyn, NY 11213-1389
Phone (929) 451-8483

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1032049161NYMDSpecialist
711420961NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1629338496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 PACIFIC ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131389",
            "telephone_number": "929-451-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 PACIFIC ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112131389",
            "telephone_number": "646-559-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLE",
        "first_name": "COCO",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "711420961",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1032049161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.