Jayne Marie Kitsos Ellinger, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

350-01 Issued in NY

Practice address

42 Pershing Ave
Babylon, NY 11702-4111

Phone

(516) 463-6952

Fax

(516) 463-6275

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jayne Maire Kitsos Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1962545830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HOFSTRA UNIVERSITY 101 HOFSTRA DOME",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115490001",
            "telephone_number": "516-463-6952",
            "fax_number": "516-463-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PERSHING AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024111",
            "telephone_number": "516-463-6952",
            "fax_number": "516-463-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSOS ELLINGER",
        "first_name": "JAYNE",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "350-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNE",
            "last_name": "KITSOS",
            "middle_name": "MAIRE",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon E Kerrigan
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• Sookhee Kim
• Kimon Bekelis Physician P C
• Lindsay Ann Kirby, M.S., TSSLD, CCC-SLP
• Debra Knapfel, LSLP
• Megan Hope Koffsky, PMHNP-BC
• Leon Michael Kogan, M.D.
• Daniel J Kohane, M.D.
• James George Kohlroser, DO

• Athletic Trainer in Babylon, NY
• Providers in Babylon, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.