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SCOTT JACOB ELLIS MD PLLC NPI 1104424621


NPI Information

NPI: 1104424621
Provider Name: SCOTT JACOB ELLIS MD PLLC
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
523 E 72ND ST FL 5
NEW YORK, NY
ZIP 10021
Phone: (646) 797-8305
Get Directions

SCOTT JACOB ELLIS MD PLLC is a foot and ankle surgery orthopaedic surgery in New York, NY. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. SCOTT JACOB ELLIS MD PLLC NPI is 1104424621. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

523 E 72ND ST FL 5
NEW YORK, NY
ZIP 10021-099
Phone: (646) 797-8305
Fax: (646) 797-8515

The provider's authorized official is Scott Jacob Ellis .
The authorized official title is President and has the following contact phone number (646) 797-8305.

The enumeration date for this NPI number is 10/16/2020 and was last updated on 10/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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