Elise C Deluke M.D., PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELISE C DELUKE M.D., PLLC

Practice address

4949 Main St
Amherst, NY 14226-4070

Phone

(716) 970-4140

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Elise C Deluke, MDNPI 1265708267

Title

Ceo

Phone

(716) 970-4140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elise Christine Deluke, M.D.

  • Dermatology Physician
  • Amherst, NY
  • NPI 1265708267
  Medicare reassignment Care Compare group NPD Authorized official
• Gretchen Lynn Malikowski, M.D.

  • MOHS-Micrographic Surgery Physician
  • Buffalo, NY
  • NPI 1720467194

  Dermatology

  Medicare reassignment Care Compare group NPD
• Tara Sosa Paolini, MD

  • Dermatology Physician
  • Williamsville, NY
  • NPI 1063486637
  Medicare reassignment Care Compare group NPD
• Ashley Ann Knavel

  • Physician Assistant
  • Williamsville, NY
  • NPI 1861833824
  Medicare reassignment Care Compare group
• Angela D. Lore, RPA

  • Physician Assistant
  • Buffalo, NY
  • NPI 1487920609
  Medicare reassignment Care Compare group
• Jacob Potwora

  • Physician Assistant
  • Amherst, NY
  • NPI 1952032575
  Medicare reassignment Care Compare group
• Lauren Elizabeth Rutkoski, PA-C

  • Physician Assistant
  • Williamsville, NY
  • NPI 1992746341
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1679937916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264070",
            "telephone_number": "716-970-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264070",
            "telephone_number": "716-970-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE C DELUKE M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "DELUKE",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-970-4140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M. Egan, LCSW
• Andrew Jarred Eggleston, ATC
• Christine A Ehrensberger, RPA-C
• Emily Ann Eisenbaum
• Michelle C Eliason, OTR
• Elizabeth a. O Neill M.D., P.C.
• Elizabeth Pierce Olmsted Center for the Visually Impaired
• Ellicott Square Chiropractic PLLC
• Wisam Elfatih Elmalik, M.D
• Thomas Robert Elmer VI, MD

• Dermatology Physician in Amherst, NY
• Providers in Amherst, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.