ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC
NPI 1477945905
Emergency Medicine in Ellenville, NY
About Ellenville Emergency Medical Associates Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC (NPI 1477945905) is a healthcare organization registered as an emergency medicine in Ellenville, New York and active in the NPI registry since February 2015. The organization lists Fareed Nabiel Fareed, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellenville Emergency Medical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Ellenville Emergency Medical Associates PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Mount Kisco, NY 10549
Ft Lauderdale, FL 33309
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ellenville Emergency Medical Associates PLLC's NPI number?
The NPI number for Ellenville Emergency Medical Associates PLLC is 1477945905. It was assigned to this organization in the NPPES registry on February 20, 2015.
Where is Ellenville Emergency Medical Associates PLLC located?
Ellenville Emergency Medical Associates PLLC is located at 10 Healthy Way, Ellenville, NY 12428. The listed phone number is (469) 401-2386.
What is Ellenville Emergency Medical Associates PLLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ellenville Emergency Medical Associates PLLC enrolled in Medicare?
Yes. Ellenville Emergency Medical Associates PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellenville Emergency Medical Associates PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Ellenville Emergency Medical Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (5), Nurse Practitioner (5) and General Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ellenville Emergency Medical Associates PLLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Ellenville Emergency Medical Associates Pllc · NPI 1477945905
Emergency Medicine organization in Ellenville, New York. Organization record, active in the CMS NPPES registry since February 20, 2015.
## Identity
- **NPI:** 1477945905 (Entity type: Organization)
- **Enumerated:** February 20, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Fareed Fareed, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 10 HEALTHY WAY, Ellenville, NY 12428-5612
- **Phone:** (469) 401-2386
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (5), Nurse Practitioner (5), General Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477945905) · Data from the CMS NPPES public registry.