ELYSE ISLEY (PA-C) – Physician Assistant, NPI 1902464266

ELYSE ISLEY (PA-C) is a healthcare provider. based in Randolph, New Jersey. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 024128 (NY). The NPI Number for ELYSE ISLEY (PA-C) is 1902464266

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ELYSE ISLEY (PA-C)
NPI
1902464266
Phone
(973) 769-6375
Address
31 Arnold Dr
Enumeration Date
2 June 2019
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2126392000
Graduation Year
2019 (7 years ago)
PAC ID
0244665420
Group Practice PAC ID
0345131405
Professional Enrollment ID
I20200116000262
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for ELYSE ISLEY (PA-C)

  • 31 Arnold Dr

    Randolph, NJ 078693304

    Phone: (973) 769-6375

    Type: Location

  • Memorial Sloan Kettering Cancer Center, 1275, York Avenue, Lenox Hill, Manhattan Community Board 8, Manhattan, New York County, New York, 10065, United States

    NEW YORK, NY 100656007

    Phone: (212) 639-2000

    Type: Location

  • 31, Arnold Drive, Randolph Township, Morris County, New Jersey, 07869, United States

    RANDOLPH, NJ 078693304

    Phone: (973) 769-6375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $146.

Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Integra LifeSciences Corporation ($146).

Total Amount

$146

General + Research + Ownership

Payments

1

Total payment records

General Amount

$146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200116000262IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07869)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345131405View full group profile
NameSpecialtyState
Gynecological Oncology, Obstetrics/GynecologyWI
Surgical OncologyNY
Maxillofacial SurgeryNY
Nurse PractitionerNY
U R O L O G YNY
-NY
Physician AssistantNY
Oral SurgeryNY
Physician AssistantNY
Physician AssistantNJ

Reviews

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Frequently asked questions

What federal number belongs to ELYSE ISLEY (PA-C)?
The federal identifier for ELYSE ISLEY (PA-C) is NPI 1902464266.
Is ELYSE ISLEY (PA-C) active in the national directory?
ELYSE ISLEY (PA-C)'s public NPI profile is in an active state.
Does ELYSE ISLEY (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ELYSE ISLEY (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for ELYSE ISLEY (PA-C)?
We surface Randolph, New Jersey for ELYSE ISLEY (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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