DR. JASON A. ELLIS (NPI# 1629244884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629244884 |
| Entity Type | Individual |
| Full Name | DR. JASON A. ELLIS |
| Credential | M.D. |
| Practice Address |
130 East 77th Street Dept. of Neurosurgery, Black Hall, Third Floor New York NY 10075 |
| Practice Telephone | 2124343900 |
| Practice Fax Number | 2124343899 |
| Mailing Telephone | (212) 434-3900 |
| Mailing Fax Number | 2124343899 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2017-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 75452 | GA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 260313-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602093 | Jason Lee Ellis | Occupational Therapist | 719 Elysian Fields Ave Fl 2, New Orleans, LA 70117-8511 | 2017-11-09 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1194840470 | Jason Daniel Ellis | Registered Nurse | 4510 Nocohoma Bnd, Douglasville, GA 30135-8447 | 2007-03-19 |
| 1700914140 | Jason Lee Ellis | Chiropractor | 7250 France Ave S., 300 A, Edina, MN 55435-4346 | 2007-02-28 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1861455495 | Jason Ellis | Chiropractor | 3965 Normal St, Suit #4, San Diego, CA 92103-3422 | 2006-04-06 |
| 1285197673 | Jason Ted Ellis | Pharmacist | 500 11th St Sw, Spencer, IA 51301-5826 | 2019-04-11 |
| 1437618055 | Jason Ellis | Chiropractor | 7034 Liberty Rd, Baltimore, MD 21207-5801 | 2019-03-13 |
| 1023466760 | Jason G. Ellis | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2016-06-02 |
| 1578924858 | Jason Ellis | Peer Specialist | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2016-03-14 |
| Street Address |
130 EAST 77TH STREET DEPT. OF NEUROSURGERY, BLACK HALL, THIRD FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657542 | Richard S Lazzaro | Specialist | 130 East 77th Street, Lenox Hill Hospital, New York, NY 10075 | 2006-04-11 |
| 1164056123 | Abdulrahman Hatem Aman | Student in an Organized Health Care Education/Training Program | 130 East 77th Street, 8th Floor Room 801, New York, NY 10075 | 2020-02-28 |
| 1629589734 | Maria Dedios | Nurse Practitioner | 130 East 77th Street, 3 Black Hall, New York, NY 10075 | 2017-10-16 |
| 1861839946 | Ob/gyn Services P.c | Obstetrics & Gynecology | 130 East 77th Street, New York, NY 10075 | 2013-05-29 |
| 1255667077 | Jacqueline Lagazo-guia | Nurse Practitioner | 130 East 77th Street, 9 Black Hall, New York, NY 10075-1851 | 2009-10-29 |
| 1053561936 | Nicolas M Van Mieghem | General Acute Care Hospital | 130 East 77th Street, New York, NY 10021 | 2008-09-26 |
| 1194946772 | Wendy Lynn Bendersky | Physician Assistant | 130 East 77th Street, 8th Floor, New York, NY 10021 | 2007-05-01 |
| 1619051265 | Timothy Evan Radomisli | Orthopaedic Surgery | 130 East 77th Street, 12th Floor, New York, NY 10021 | 2006-10-24 |
| 1669573879 | Michelle Regina Demeo | Physician Assistant | 130 East 77th Street, C/o Manhattan Orthopaedics, 7th Floor, New York, NY 10075-1851 | 2006-09-26 |
| 1558372904 | Peter David Costantino | Specialist | 130 East 77th Street, 10th Floor, New York, NY 10075 | 2006-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143933 | Antonio Bernardo | Neurological Surgery | 1330 1st Ave Apt 709, New York, NY 10021-4783 | 2020-10-31 |
| 1902372980 | Jenkins Neurospine LLC | Neurological Surgery | 65 E 96th St Apt 1b, New York, NY 10128-0776 | 2018-10-17 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1023534625 | Aaron Hockley | Neurological Surgery | 306 E 15th St Apt 4r, New York, NY 10003-4029 | 2017-08-16 |
| 1093259368 | Tomoyoshi Shigematsu | Neurological Surgery | 1450 Madison Ave # 1136, New York, NY 10029-6508 | 2016-12-06 |
| 1326461658 | Erez Nossek | Neurological Surgery | 448 E 20th St, New York, NY 10009-8228 | 2014-01-22 |
| 1750725446 | Michael Maurice Mcdowell | Neurological Surgery | 60 Haven Avenue Box 30a, New York, NY 10032 | 2013-04-24 |
| 1073956264 | Shahram Majidi | Neurological Surgery | 1450 Madison Ave # 1-north, New York, NY 10029-6508 | 2013-04-08 |
| 1235498403 | Eric Karl Oermann | Neurological Surgery | 530 1st Ave # Ski8s, New York, NY 10016-6402 | 2012-05-09 |
| 1861793606 | Daniel T Warren | Neurological Surgery | 446 E 20th St, 4g, New York, NY 10009-8218 | 2010-11-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.