Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elise W Van der Jagt, MD

Individual provider Pediatrics Physician · NPI 1083650949

Dr. Elise W Van der Jagt, MD is a Pediatrics Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave Box 635
Rochester, NY 14642-0001
Phone: (585) 275-8138
Fax: (585) 275-2352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 124938 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 124938 (NY)

Record details

NPI number1083650949
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 13, 2026

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