ELISSA MICHELLE MARTIN ANP NPI 1093204919

NPI Information

NPI: 1093204919
Provider Name: ELISSA MICHELLE MARTIN, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
310 E SHORE RD STE 104
GREAT NECK, NY
ZIP 11023
Phone: (516) 829-9550
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Elissa Michelle Martin, ANP is an adult health nurse practitioner in Great Neck, NY with 12 years of experience. Elissa Michelle Martin, ANP NPI is 1093204919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 E SHORE RD STE 104
GREAT NECK, NY
ZIP 11023-432
Phone: (516) 829-9550

The NPI 1093204919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2018 and was last updated on 2/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F306421-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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