Provider Demographics
NPI:1568768695
Name:JOY ELWELL, FNP, LLC
Entity Type:Organization
Organization Name:JOY ELWELL, FNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:SCHLOTON
Authorized Official - Last Name:ELWELL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:914-713-3521
Mailing Address - Street 1:10 DUNWOODIE ST
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5411
Mailing Address - Country:US
Mailing Address - Phone:914-713-3521
Mailing Address - Fax:914-713-3522
Practice Address - Street 1:10 DUNWOODIE ST
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5411
Practice Address - Country:US
Practice Address - Phone:914-713-3521
Practice Address - Fax:914-713-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0186206Medicaid
NYS59693Medicare UPIN
NY0186206Medicaid