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

Elise McKenna

Individual provider Surgery Physician · NPI 1548670300

Elise McKenna is a Pediatric Medicine in New York, New York. Graduated from New York Medical College in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Connecticut, District of Columbia and New York.

Years since qualifying
12
Trained at
New York Medical College
Licensed in
CT, DC, NY
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

530 1st Ave Ste 10W
New York, NY 10016-6402
Phone: (212) 263-7391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 325457 (NY)
Surgery Physician Taxonomy 208600000X · Licence MD047525 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1548670300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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