Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881956357 Individual Practitioner Female Practitioner

Ellen M Tully

Specialist • Long Beach, NY

Professional Overview & Biography Verified Profile Summary

Ellen Tully is a registered healthcare professional specializing in Specialist in Long Beach, NY. Practice services are available at 740 E BROADWAY APT 5N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

740 E Broadway Apt 5n

Long Beach, NY 115614765

Telephone 5165108266
Associated Practice Facility / Clinic
🏢 Ellen M Tully Associates Inc Facility NPI 1912449687

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Long Beach, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 54.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
64 Specialists

Practicing in Long Beach, NY (23296 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 1493671

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2012

Registered at 740 E BROADWAY APT 5N, LONG BEACH, NY 115614765 (Tel: 5165108266)

📍
Updated Business Mailing Address June 11, 2012

Registered at 740 E BROADWAY APT 5N, LONG BEACH, NY 115614765 (Tel: 5165108266)

👤
Provider Name / Credentials Updated June 11, 2012

Recorded as ELLEN TULLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

Specialist (License #1493671 in NY)

🟢
Initial NPI Registration & Enumeration June 11, 2012

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: 1881956357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2012
Last Update: June 11, 2012
Sole Proprietor: Yes

Mailing Address

740 E Broadway Apt 5n

Long Beach, NY 115614765

Phone: 5165108266

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.