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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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 20 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
- **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.