ELISE LAVERY M.D.
NPI 1508015595
Pediatrics - Neonatal-Perinatal Medicine in Flushing, NY

Active since September 15, 2008PECOS Enrolled
5645 MAIN ST, FLUSHING, NY 11355(718) 670-1033(516) 437-4167 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 18, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Elise Lavery M.d. NPPES

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

ELISE LAVERY M.D. (NPI 1508015595) is an individual neonatal-perinatal medicine provider in Flushing, New York, licensed in New York (249937) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508015595
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameELISE LAVERYCredential: M.D.
Location Address5645 MAIN STFlushing, NY 11355-5045
Mailing AddressPo Box 27842New York, NY 10087-7842 · (718) 670-1651 · Fax (516) 437-4167
Fax(516) 437-4167
Sole ProprietorNo
Enumeration DateSeptember 15, 2008
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1508015595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 249937
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5645 MAIN ST, Flushing, NY 11355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Lavery M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elise Lavery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Internal Medicine (Infectious Disease)
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Elise Lavery's NPI number?

The NPI number for Elise Lavery is 1508015595. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Elise Lavery located?

Elise Lavery practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-1033.

What is Elise Lavery's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Elise Lavery enrolled in Medicare?

Yes. Elise Lavery is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elise Lavery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Lavery reassigns Medicare benefits to 2 organizations: New York Queens Medicine And Surgery, P.C. (Flushing, NY) and Jamaica Hospital (Jamaica, NY). Each 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 Elise Lavery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elise Lavery was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.