ELISA JEAN MARY NP
NPI 1740779206
Nurse Practitioner in Elmhurst, NY

Q: What is Elisa Jean Mary's NPI number?

The NPI number for Elisa Jean Mary is 1740779206. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Elisa Jean Mary's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisa Jean Mary was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since May 09, 2018

87-08 JUSTICE AVE SUITE CS, ELMHURST, NY 11373(718) 779-9599(718) 779-9579 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elisa Jean Mary Np NPPES

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

ELISA JEAN MARY NP (NPI 1740779206) is an individual nurse practitioner in Elmhurst, New York, licensed in New York (308410) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1740779206

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELISA JEAN MARYCredential: NP

Location Address87-08 JUSTICE AVE SUITE CSElmhurst, NY 11373

Mailing Address87-08 Justice Ave Suite CsElmhurst, NY 11373 · (718) 779-9599 · Fax (718) 779-9579

Phone(718) 779-9599

Fax(718) 779-9579

Sole ProprietorNo

Enumeration DateMay 9, 2018

✔ NPI 1740779206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 308410

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

87-08 JUSTICE AVE SUITE CS, Elmhurst, NY 11373

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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 Elisa Jean Mary's NPI number?

The NPI number for Elisa Jean Mary is 1740779206. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Elisa Jean Mary located?

Elisa Jean Mary practices at 87-08 Justice Ave Suite Cs, Elmhurst, NY 11373. The listed phone number is (718) 779-9599.

What is Elisa Jean Mary's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elisa Jean Mary was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.