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ELLIE WIESE
NPI 1386332401
Physician Assistant in Staten Island, NY

Active since April 26, 2023
1 CAMPUS RD, STATEN ISLAND, NY 10301(718) 390-3100 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellie Wiese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE WIESE (NPI 1386332401) is an individual physician assistant in Staten Island, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1386332401
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLIE WIESE
Location Address1 CAMPUS RDStaten Island, NY 10301-4479
Mailing Address1 Campus RdStaten Island, NY 10301-4479 · (718) 420-4142
Phone(718) 390-3100
Sole ProprietorNo
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1386332401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 CAMPUS RD, Staten Island, NY 10301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA SIGNORILE
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 390-3100
MS. KAITLYN ISOLDE ROSS PA
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4151
KRISTINA MARIE GIAKAS PA-C
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4160
FAIZ ABED
Physician Assistant (Surgical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 619-1995
STEVEN F LEONE PA
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4160
MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 420-4151
ANTONIA MARIE GRECO PA-C
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (718) 663-1078
JONATHAN TWIGGS
Physician Assistant (Medical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Richmond County (917) 608-1474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Wiese's NPI number?

The NPI number for Ellie Wiese is 1386332401. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Ellie Wiese located?

Ellie Wiese practices at 1 Campus Rd, Staten Island, NY 10301. The listed phone number is (718) 390-3100.

What is Ellie Wiese's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ellie Wiese was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.