Michael W. Elice MD, PLLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

1325791 Issued in NY

Legal business name

MICHAEL W. ELICE MD, PLLC

Practice address

80 Crossways Park Dr
Suite 200
Woodbury, NY 11797-2047

Phone

(516) 802-5028

Fax

(516) 802-5027

NPI assigned

Dec 5, 2014

Last updated

Dec 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael W. Elice, MDNPI 1114099710

Title

Medical Director

Phone

(506) 802-5028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Aim Integrated Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aim Integrated Medicine

  • Allergy Physician
  • Woodbury, NY
  • NPI 1194127373
  NPD tax ID
• Aim Integrative Medicine

  • Pediatric Neurodevelopmental Disabilities Physician
  • Woodbury, NY
  • NPI 1831567809
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael W Elice, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Woodbury, NY
  • NPI 1114099710
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1649678780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CROSSWAYS PARK DR",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972047",
            "telephone_number": "516-802-5028",
            "fax_number": "516-802-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CROSSWAYS PARK DR",
            "address_2": "SUITE 200",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972047",
            "telephone_number": "516-802-5028",
            "fax_number": "516-802-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. ELICE MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "ELICE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "506-802-5028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "1325791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Messer
• MG Medical Services, P.C.
• Jacqueline Marie Micallef, FNP
• Michael Allen Opticians Inc
• Michael Lazar DDS Daniel F Coyle DDS Peter L Akl DDS PC
• Yolanda Michinski, LPN
• Milagros D. Diaz, MD, PC
• David Laurence Milana, D.C.
• Eirene Mamakos Milano, MD
• Danielle Nicole Millman

• Allergy Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Allergy Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.