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

Elijah John Rouse

Individual provider Physician Assistant · NPI 1932831831

Elijah John Rouse is a Physician Assistant in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1468 Madison Ave
New York, NY 10029-6508
Phone: (929) 695-1273
Show map & directions

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

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-1653

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031382 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1932831831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

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