Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Elise McKenna, MD

Individual provider Surgery Physician · NPI 1548670300

Elise McKenna, MD practises Pediatric Medicine in Hackensack, New Jersey. Graduated from New York Medical College in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut, District of Columbia, New Jersey and New York.

Years since qualifying
12
Trained at
New York Medical College
Licensed in
CT, DC, NJ, NY
In the registry since
2014
Specialties on file
4
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

30 Prospect Ave Wfan Rm 311
Hackensack, NJ 07601-1915
Phone: (551) 996-2921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 1st Ave Ste 10w, New York, NY 10016-6402 — (212) 263-7391

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 25MA12859100 (NJ)
Surgery Physician Taxonomy 208600000X · Licence MD047525 (DC)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 325457 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1548670300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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

Colleagues at New York University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5884 clinicians in the practice; 12 are shown here.

Other providers in Hackensack