Ellen R Ettinger, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV4454 Issued in NY

Practice address

530 E 23Rd St Apt 1B
New York, NY 10010-5046

Phone

(917) 583-1260

NPI assigned

Aug 23, 2006

Last updated

Dec 12, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellen.ettinger.p1@direct.ucpnyc.nextgenshare.com

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

• United Cerebral Palsy of New York City Inc

  • Rehabilitation Clinic/Center
  • New York, NY
  • NPI 1730302019
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1982711313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105046",
            "telephone_number": "917-583-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105046",
            "telephone_number": "917-583-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "ELLEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ettedgui, R.D.
• Eliza Etter, PT, DPT, CLT
• Sarah Elizabether Etter, LMSW
• Karen Ettienne, FNP
• Arielle B Ettinger, D.P.T.
• Joshua Ettinger
• Justin L Ettinger
• Suellen P Ettinger, PT
• Ari Ettleson, MD
• Elysa Ettlinger Newman, LMSW

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.