Elise McKenna, MD
NPI 1548670300ActiveIndividual· Surgery, Pediatric Surgery· Hackensack, NJ
Surgery, Pediatric Surgery (MD) in Hackensack, New Jersey, trained at New York Medical College (class of 2014). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1548670300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 2, 2014 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 25MA12859100 | NJ |
| Surgery | 208600000X | MD047525 | DC |
| Surgery, Pediatric Surgery | 2086S0120X | 325457 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (NY) |
|---|
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Pediatric Medicine |
| Secondary specialties | General Surgery |
Medical group
- New York UniversityNew York, NY · 6,134 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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