Individual provider Active NPI

Yolande Thomas-Ellis, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1932197373
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101194 Issued in FL
Practice address
1976 2ND Ave
New York, NY 10029-6314
Phone
(212) 879-6000
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 PA9101194 FL Primary

Addresses

Primary practice location

1976 2ND Ave
New York, NY 10029-6314

Mailing address

4403 15TH Ave
Brooklyn, NY 11219-1604
Phone (718) 373-1000

Other practice location 1

1611 NW 12th Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 256-5001

Other practice location 2

752 Saint Nicholas Ave
New York, NY 10031-4002
Phone (212) 206-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051121000103 FL Practitioner - Physician Assistant 6204855125 Reassigns benefits to 8 organizations
I20170928000526 NY Practitioner - Physician Assistant 6204855125 Reassigns benefits to 1 organization
I20180501000436 LA Practitioner - Physician Assistant 6204855125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
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)

1243 Fulton St
Brooklyn, NY 11216-2004
Phone (646) 647-1257

1305 Kings Hwy
Brooklyn, NY 11229-1903
Phone (718) 280-5172

135 Montague St
Brooklyn, NY 11201-3504
Phone (646) 346-7918

138 Delancey St
New York, NY 10002-3325
Phone (212) 609-2541

21 Graham Ave
Brooklyn, NY 11206-4007
Phone (718) 571-9280

2125 Nostrand Ave
Brooklyn, NY 11210-3001
Phone (718) 489-3557

2183 A Ralph Ave
Brooklyn, NY 11234-5405
Phone (718) 571-9225

22405 Jamaica Ave
Queens Village, NY 11428-2019
Phone (718) 571-9395

228 - 230 Court St
Brooklyn, NY 11201-6405
Phone (718) 280-5362

256 Utica Ave
Brooklyn, NY 11213-4029
Phone (718) 571-9355

3111 Steinway St
Astoria, NY 11103-3908
Phone (718) 475-2345

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

37 W 23Rd St
New York, NY 10010-5389
Phone (646) 596-9267

457 Atlantic Ave
Brooklyn, NY 11217-2107
Phone (718) 530-1144

461 Fulton St
Brooklyn, NY 11201-5207
Phone (718) 571-9418

704 Brighton Beach Ave
Brooklyn, NY 11235-6412
Phone (718) 571-9291

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Sep 15, 2017 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Sep 15, 2017 Accepting new patients
Sterling Medical Past Accepting new patients
Olympia, LLP Past Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients
Inphynet Contracting Services LLC Physician Assistant Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: yolande.thomas-ellis.1@2983.direct.athenahealth.com
  • Direct secure messaging: yolande.ellis.1@24989.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1932197373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191604",
            "telephone_number": "718-373-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296314",
            "telephone_number": "212-879-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "Jackson Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-256-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "752 Saint Nicholas Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100314002",
            "country_code": "US",
            "telephone_number": "212-206-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS-ELLIS",
        "first_name": "YOLANDE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.