Active NPI
Ellen Whalen, M.D.
- Pediatrics Physician
- Yonkers, NY
National Provider Identifier
1780750232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 214774
- Practice address
- 984 N Broadway
Suite 301
Yonkers, NY 10701-1318 - Phone
- (914) 963-1663
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 214774 | NY | Primary |
Addresses
Primary practice location
984 N Broadway
Suite 301
Yonkers, NY 10701-1318
Mailing address
13 McClelland St
Dobbs Ferry, NY 10522-1109
Phone (914) 963-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EW006B240 | Other | NY | BLUE CROSS /BLUE SHIELD |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214774 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1780750232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 MCCLELLAND ST",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105221109",
"telephone_number": "914-963-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 N BROADWAY",
"address_2": "SUITE 301",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011318",
"telephone_number": "914-963-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "ELLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "214774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS /BLUE SHIELD",
"identifier": "EW006B240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.