MEDICARE: MS. JOANNE CELESTE ELLISON RPA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	010716	NY
2	363AM0700X	Medical Physician Assistant	010716	NY

General Provider Information

NPI Number	:	1386954345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOANNE CELESTE ELLISON RPA-C

Provider Business Mailing Address
First Line	:	6149 DRY HARBOR RD
Second Line	:	APT K56
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-1531
Country	:	US
Telephone Number	:	718-205-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 W 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10027-4439
Country	:	US
Telephone Number	:	212-864-0904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2010
Last Update Date	:	10/08/2010

Similar Medicare Providers

1437372992 — BETH ISRAEL MEDICAL CENTER
Practice Location Address:

132 W 125TH ST , 6TH FLOOR
NEW YORK, NY
10027-4439

Practice Phone: 212-864-0904
Practice Fax: 212-865-6128

1174773501 — MR. JAMES B. DAFFIN RPA
Practice Location Address:

132 W 125TH ST , 6TH FLOOR
NEW YORK, NY
10027-4439

Practice Phone: 212-864-0904
Practice Fax:

1568792158 — MS. ABIGAIL STRUBEL M.A., LCSW
Practice Location Address:

132 W 125TH ST
NEW YORK, NY
10027-4439

Practice Phone: 212-864-0904
Practice Fax:

1740586643 — BETH IZREAL MEDICAL CENTER
Practice Location Address:

132 W 125TH ST , 6TH FLOOR
NEW YORK, NY
10027-4439

Practice Phone: 212-864-0904
Practice Fax: 212-865-6128

1144783168 — VISHAL PATEL MD
Practice Location Address:

140 W 125TH ST
NEW YORK, NY
10027-4439

Practice Phone: 212-636-4840
Practice Fax:

1528712288 — CARLOS RESURRECCION CARN
Practice Location Address:

132 W 125TH ST FL 6
NEW YORK, NY
10027-4439

Practice Phone: 212-636-4848
Practice Fax: 212-866-5741

Directions to “ MS. JOANNE CELESTE ELLISON RPA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.