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Provider Profile

Nicole D. Ellenbogen

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At a glance

About Nicole Ellenbogen

Nicole D. Ellenbogen is a physician assistant — medical practicing in New York, NY. This provider record is associated with NPI 1174369201.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Specialty

Credentials & Licensing

NPINational Provider Identifier
1174369201Issued 2024

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Nicole D. Ellenbogen specialize in?

Nicole D. Ellenbogen is a physician assistant in New York, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Medical”.

NPI registry

Where is Nicole D. Ellenbogen located?

Nicole D. Ellenbogen is listed at 100 E 77Th St, New York, NY 10075. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Nicole D. Ellenbogen's phone number?

The number on file is (212) 434-2000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Nicole D. Ellenbogen?

Nicole D. Ellenbogen's National Provider Identifier is 1174369201. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Nicole D. Ellenbogen train?

Nicole D. Ellenbogen attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Nicole D. Ellenbogen have?

Nicole D. Ellenbogen has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Is Nicole D. Ellenbogen's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole D. Ellenbogen. If this is you, claiming it is free.

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