EJ MANAGEMENT NY LLC

Provider Demographics

• NPI: 1376332429
• Name: EJ MANAGEMENT NY LLC
• Entity type: Organization
• Organization Name: EJ MANAGEMENT NY LLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: OWNER
• Authorized Official - First Name: EMMANUEL
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: PELAYO
• Authorized Official - Credentials: A-GNP-C, RDN
• Authorized Official - Phone: 831-210-0313
• Mailing Address - Street 1: 120 E 56TH ST # 92D
• Mailing Address - City: NEW YORK
• Mailing Address - State: NY
• Mailing Address - Zip Code: 10022-3607
• Mailing Address - Country: US
• Mailing Address - Phone: 212-547-9462
• Mailing Address - Fax: 877-717-7942
• Practice Address - Street 1: 120 E 56TH ST # 92D
• Practice Address - City: NEW YORK
• Practice Address - State: NY
• Practice Address - Zip Code: 10022-3607
• Practice Address - Country: US
• Practice Address - Phone: 212-547-9462
• Practice Address - Fax: 877-717-7942
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2025-05-05
• Last Update Date: 2025-06-04

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	363LA2200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Adult Health	Group - Multi-Specialty
No	133V00000X	Dietary & Nutritional Service Providers	Dietitian, Registered		Group - Multi-Specialty
No	363LG0600X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Gerontology	Group - Multi-Specialty
No	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Primary Care	Group - Multi-Specialty
No	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	261Q00000X	Ambulatory Health Care Facilities	Clinic/Center
No	261QI0500X	Ambulatory Health Care Facilities	Clinic/Center	Infusion Therapy
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty