IndividualActive
Elise Van Der Jagt, MD
NPI 1083650949 · Pediatric Critical Care Medicine Physician · Rochester, NY
Provider details
- NPI number
- 1083650949
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 124938 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
601 Elmwood Ave
Box 635
Rochester, NY 14642-0001
Phone: (585) 275-8138
Fax: (585) 275-2352
Approximate (ZIP-level) locationGet directions
Mailing address
601 Elmwood Ave
Rochester, NY 14642-0001
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.