TRACY MOTTLEY ELLIS - NPI 1053240929 - Registered Nurse in Staten Island, NY

Q: What is Tracy Mottley Ellis's NPI number?

The NPI number for Tracy Mottley Ellis is 1053240929. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Tracy Mottley Ellis's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

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About Tracy Mottley Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MOTTLEY ELLIS (NPI 1053240929) is an individual registered nurse in Staten Island, New York, licensed in New York (N18190-01) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1053240929

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameTRACY MOTTLEY ELLIS

Location Address1915 FOREST AVEStaten Island, NY 10303-2127

Mailing Address135 Broad StMatawan, NJ 07747-3133

Phone(718) 981-3136

Sole ProprietorYes

Enumeration DateMay 18, 2026

NPPES CertifiedMay 17, 2026

✔ NPI 1053240929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NY · N18190-01

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1915 FOREST AVE, Staten Island, NY 10303

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Counselor (Mental Health)