Individual ProviderDanita EllisonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Gastroenterology, Brooklyn, NY 11203-2045(347) 622-9411PECOS EnrollmentBased on the most recent information from CMS, provider Danita Ellison is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912521857Provider TypeIndividualFull NameEllison, DanitaCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date6/6/2020Last Updated4/9/2025Contact InformationPractice LocationPractice Address450 Clarkson Ave, Gastroenterology, Brooklyn, NY 11203-2045Phone(347) 622-9411Fax(718) 270-7201Mailing LocationMailing AddressPO Box 691, Blakeslee, PA 18610-0691Phone(347) 622-9411FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense346961New York