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

Q: 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.

Q: What is Elise Lavery's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

Phone(718) 670-1033

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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