Individual provider Active NPI

Ellen Sierra, P.A.

  • Physician Assistant
  • Oceanside, NY
National Provider Identifier
1790761732
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009114-1 Issued in NY
Practice address
1 Healthy Way
Oceanside, NY 11572-1551
Phone
(516) 632-3900
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009114-1 NY Primary

Addresses

Primary practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

PO Box 826223
Philadelphia, PA 19182-6223
Phone (866) 898-7142

Other identifiers 1

IdentifierTypeStateIssuer
P00103555OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040624000811 NY Practitioner - Physician Assistant 4082690821 Reassigns benefits to 2 organizations
I20241028001379 CT Practitioner - Physician Assistant 4082690821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1919 Hempstead Tpke
East Meadow, NY 11554-1710
Phone (516) 227-2273

1989 Merrick Rd
Merrick, NY 11566-4643
Phone (516) 584-4448

235 Glen Cove Rd
Carle Place, NY 11514-1221
Phone (516) 877-2273

2459 Merrick Rd
Bellmore, NY 11710-5703
Phone (516) 826-2273

292 Herricks Rd
Mineola, NY 11501-1119
Phone (516) 746-2273

30 Franklin Ave
Franklin Square, NY 11010-2527
Phone (516) 352-0253

3276 Hempstead Tpke
Levittown, NY 11756-1345
Phone (516) 796-2273

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

4410 Sunrise Hwy
Massapequa, NY 11758-5346
Phone (516) 998-1024

560 Merrick Rd
Rockville Centre, NY 11570-5445
Phone (516) 858-2373

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6526CTMDProfessional Counselor
009114-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Sep 30, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 14, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince May 14, 2018 Accepting new patients
Nassau Emergency Medicine, P.C. Past Accepting new patients

Locations

506 Westport Ave
Norwalk, CT 06851
Phone (203) 706-4170

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

519 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 360-5900

Interoperability endpoints

  • Direct secure messaging: ellen.sierra.2@2983.direct.athenahealth.com
  • Direct secure messaging: ellen.sierra.1@2983.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1790761732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826223",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826223",
            "telephone_number": "866-898-7142",
            "fax_number": "770-237-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "ELLEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009114-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00103555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.