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

Ellie Nam, PA

Individual provider Physician Assistant · NPI 1154043347

Ellie Nam, PA is a Physician Assistant in Yorktown Heights, New York. Qualified in 2022, 4 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

355 Kear St
Yorktown Heights, NY 10598-4415
Phone: (914) 962-5060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4 Coulter Rd Ste 1630, Clifton Springs, NY 14432-1122 — (315) 462-1495
  • 2250 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2706 — (585) 424-6770

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028745 (NY)

Record details

NPI number1154043347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2022
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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