ELLEN ELLIS


Address: 67 Park Ave, #12b, New York, NY 10016-2557
Phone: 5166508444

ELLEN ELLIS (NPI# 1952708364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952708364
Entity Type Individual
Full Name ELLEN ELLIS
Credential D.O.
Practice Address 67 Park Ave
#12b
New York
NY 10016-2557
Practice Telephone 5166508444
Mailing Telephone 5166508444
Enumeration Date 2014-12-01
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 154539 NY Allopathic & Osteopathic Physicians

Other Providers ELLEN ELLIS

NPI Name Taxonomy Address Enumeration
1164895140 Ellen Ellis Acupuncturist 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 2015-11-12

Office Location

Street Address 67 PARK AVE
#12B
City NEW YORK
State NY
Zip Code 10016-2557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619036720 Nancy Jacobs Chiropractor 67 Park Ave, Suite 1c, New York, NY 10016-2557 2006-12-06
1518476985 Park Sleep Vip & Wellness LLC Family Medicine 67 Park Ave, New York, NY 10016-2557 2017-09-28
1265660039 Park Avenue Chiropractic PC Chiropractor 67 Park Ave, Suite 1c, New York, NY 10016-2557 2009-06-30
1083873723 Paul Robert Pomerantz Psychiatry & Neurology 67 Park Ave, 1b, New York, NY 10016-2557 2008-06-06
1013196187 Joy Arlene Clark Obstetrics & Gynecology 67 Park Ave, Suite 1d, New York, NY 10016-2557 2007-10-25
1174738009 Edgard S El Chaar Dentist 67 Park Ave, 1a, New York, NY 10016-2557 2007-05-14
1588726210 Richard Lloyd King Psychiatry & Neurology 67 Park Ave, New York, NY 10016-2557 2006-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033719216 Vanessa Tee-ting Ng Student in an Organized Health Care Education/Training Program 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 2020-10-28
1972118206 Trisha Aloquina Nurse Practitioner 106 East 32nd St, 102, New York, NY 10016 2020-09-14
1912519950 Lionel Thompson Jr. Social Worker Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 2020-08-20
1134755622 Samantha Caldona Behavior Technician 205 East 35 Street, New York, NY 10016 2020-03-17
1104477504 Jaclyn A. Silverman Nurse Practitioner 113 East 39th Street, New York, NY 10016 2019-09-26
1093376147 Eskue Therapy, LLC Massage Therapist 130 East 40 Street, Ste. 1001, New York, NY 10016 2019-06-27
1952962227 Richard Callado Nurse Practitioner 245 5th Ave Ste 336, New York, NY 10016 2019-06-26
1265096754 Sharon Brenda Madanes Student in an Organized Health Care Education/Training Program Nyu Langone, 550 First Ave., New York, NY 10016 2019-04-30
1124589569 Krupali Chokshi Student in an Organized Health Care Education/Training Program Nyu Langone Hospital, 550 First Ave., New York, NY 10016 2019-03-28
1982160909 Sherell Miriam Harding Behavioral Analyst 204 35th St, New York, NY 10016 2019-02-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319016 Sarah Glaser Family Medicine 30 W 24th St, New York, NY 10010-3207 2020-09-04
1396359642 Marlene Aquino Family Medicine 252 E 4th St Apt 2d, New York, NY 10009-7538 2020-09-03
1164043378 Weber Medical Care Pllc Family Medicine 10 Rutgers St Apt 4l, New York, NY 10002-7167 2020-04-28
1285263806 Dcw Providers, P.a. Family Medicine 394 Broadway 3rd Floor, New York, NY 10013 2020-04-06
1770111429 Live Life Now Health Group Pa Family Medicine 350 7th Ave, New York, NY 10001-5013 2020-03-30
1235762899 121 Medical P.C. Family Medicine 5030 Broadway Ste 818, New York, NY 10034-1670 2020-02-21
1558992206 Juno Medical Practice, Pllc Family Medicine 2119 Frederick Douglass Blvd, New York, NY 10026-2392 2020-01-31
1912567884 Chinatown True Care Medical Pllc Family Medicine 139 Centre St Ste 711, New York, NY 10013-4557 2019-06-13
1295205201 Mary Scanlon-o'kelly Family Medicine 30 West St Apt 2a, New York, NY 10004-3052 2018-12-03
1932691532 Tala Fanek Family Medicine 622 W 168th St Ph 12-1272, New York, NY 10032-3720 2018-05-31
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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

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.

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