NPI Details
DR. Jeffrey Ira Ellis, M.D. is a procedural dermatology dermatology in Hicksville, NY with 24 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Jeffrey Ira Ellis, M.D. NPI is 1285748293. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2002
The provider's business location address is:
358 S OYSTER BAY RD
HICKSVILLE, NY
ZIP 11801-508
Phone: (516) 822-7546
Fax: (516) 937-7546
The NPI 1285748293 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
- Acne surgery (HCPCS:10040)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Biopsy of ear (HCPCS:69100)
- Punch biopsy, first skin growth (HCPCS:11104)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 8/18/2006 and was last updated on 11/2/2021.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | 234545 | NEW YORK | No |
| 2 | 207ND0101X | Dermatology | MOHS-Micrographic Surgery | 234545 | NEW YORK | No |
| 3 | 207NP0225X | Dermatology | Pediatric Dermatology | 234545 | NEW YORK | No |
| 4 | 207NS0135X | Dermatology | Procedural Dermatology | 234545-01 | NEW YORK | Yes |
