ELISE MCKENNA MD
NPI 1548670300
Surgery - Pediatric Surgery in Hackensack, NJ
About Elise Mckenna Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE MCKENNA MD (NPI 1548670300) is an individual pediatric surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA12859100) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of New York Medical College (2014).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elise Mckenna Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elise Mckenna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 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.
HACKENSACK, NJ 07601
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 Mckenna's NPI number?
The NPI number for Elise Mckenna is 1548670300. It was assigned to this individual provider in the NPPES registry on May 2, 2014.
Where is Elise Mckenna located?
Elise Mckenna practices at 30 Prospect Ave Wfan Rm 311, Hackensack, NJ 07601. The listed phone number is (551) 996-2921.
What is Elise Mckenna's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Elise Mckenna enrolled in Medicare?
Yes. Elise Mckenna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elise Mckenna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Mckenna reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elise Mckenna accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Elise Mckenna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elise Mckenna was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# Elise Mckenna, MD · NPI 1548670300
Pediatric Surgery physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since May 2, 2014.
## Identity
- **NPI:** 1548670300 (Entity type: Individual)
- **Enumerated:** May 2, 2014
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 25MA12859100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 PROSPECT AVE, WFAN RM 311, Hackensack, NJ 07601-1915
- **Phone:** (551) 996-2921
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2014
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548670300) · Data from the CMS NPPES public registry.