Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255086542 Individual Practitioner Female Practitioner

Elisa King , PROVISIONAL PSS

Peer Specialist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Elisa King, PROVISIONAL PSS is a registered healthcare professional specializing in Peer Specialist in Bronx, NY. Practice services are available at 1560 TOWNSEND AVE APT 2I under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1560 Townsend Ave Apt 2i

Bronx, NY 104526021

Telephone 3475567598

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Bronx, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NY NYCPS-P-2077

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 16, 2022

NPI status registered as active in NPPES database

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Updated Practice Location February 16, 2022

Registered at 1560 TOWNSEND AVE APT 2I, BRONX, NY 104526021 (Tel: 3475567598)

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Updated Business Mailing Address February 16, 2022

Registered at 1560 TOWNSEND AVE APT 2I, BRONX, NY 104526021

👤
Provider Name / Credentials Updated February 16, 2022

Recorded as ELISA KING, PROVISIONAL PSS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2022

Peer Specialist (License #NYCPS-P-2077 in NY)

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Initial NPI Registration & Enumeration February 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255086542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2022
Last Update: February 16, 2022
Sole Proprietor: No

Mailing Address

1560 Townsend Ave Apt 2i

Bronx, NY 104526021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.