Medassist MD Corp

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MEDASSIST MD CORP

Doing business as

MedAssist MD

Practice address

747 Chestnut Ridge Rd Ste 206
Spring Valley, NY 10977-6225

Phone

(845) 377-6670

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By 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

Chava EllinsonNPI 1487824496

Title

Director

Phone

(845) 377-6670

Specialties & licenses 1

Addresses

Other names 1

• MedAssist MD Doing business as

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.

• Chava E Ellinson

  • Mental Health Counselor
  • Lakewood, NJ
  • NPI 1487824496
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1730868688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CHESTNUT RIDGE RD STE 206",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776225",
            "telephone_number": "845-377-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 CHESTNUT RIDGE RD STE 206",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776225",
            "telephone_number": "845-377-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDASSIST MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "ELLINSON",
        "authorized_official_first_name": "CHAVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-377-6670"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedAssist MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anori McIntosh
• Karen Anne McIvor, OTR/L
• Anna McLean
• Anastasia McManus
• Mechadesh Mental Health Services, Inc
• Medassist Ny Corp
• Medassist VA, Corp
• Medequipped LLC
• Medi Ready Inc.
• Miss-Cise Dominique Medorzil

• Geriatric Medicine (Internal Medicine) Physician in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.