ELISE MARIAM SAGE PNP NPI 1598048878

NPI Information

  • NPI: 1598048878
  • Provider Name: ELISE MARIAM SAGE, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 869 FORBES ST
    EAST HARTFORD, CT
    ZIP 06118
  • Phone: (860) 622-5343

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NPI Details

Elise Mariam Sage, PNP is a pediatrics nurse practitioner in East Hartford, CT. Elise Mariam Sage, PNP NPI is 1598048878. 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:

869 FORBES ST
EAST HARTFORD, CT
ZIP 06118-958
Phone: (860) 622-5343

The NPI 1598048878 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 9/23/2011 and was last updated on 7/30/2015.

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
1363LP0200XNurse PractitionerPediatrics2268080MASSACHUSETTSNo
2163W00000XRegistered Nurse10.107616CONNECTICUTNo
3363LP0200XNurse PractitionerPediatrics005079CONNECTICUTNo
4363LP0200XNurse PractitionerPediatrics12.005079CONNECTICUTYes

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: 11/21/2025

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