Organization Active NPI

Elite NP, LLC

  • Nurse Practitioner
  • Rocky River, OH
National Provider Identifier
1881917177
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ELITE NP, LLC
Practice address
6 Creek Ridge Rd
Rocky River, OH 44116-2060
Phone
(440) 398-0515
Fax
(440) 398-0515
NPI assigned
Mar 1, 2010
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Matthew Volansky
Title
Manager
Phone
(440) 398-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

6 Creek Ridge Rd
Rocky River, OH 44116-2060

Mailing address

6 Creek Ridge Rd
Rocky River, OH 44116-2060
Phone (440) 398-0515

Other identifiers 1

IdentifierTypeStateIssuer
3065203MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1881917177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CREEK RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162060",
            "telephone_number": "440-398-0515",
            "fax_number": "440-398-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CREEK RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162060",
            "telephone_number": "440-398-0515",
            "fax_number": "440-398-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "VOLANSKY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "440-398-0515"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3065203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.