DR. JENNIFER ELLIS M.D.
NPI 1063436129
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New York, NY

Q: What is Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1063436129. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jennifer Ellis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ellis was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2006

530 1ST AVE STE 9V, NEW YORK, NY 10016(212) 263-0692(212) 263-2042 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2023, Dec 29, 2021, Mar 28, 2021 (3 updates tracked since 2021).

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About Dr. Jennifer Ellis M.d. NPPES

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

DR. JENNIFER ELLIS M.D. (NPI 1063436129) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New York, New York, licensed in District Of Columbia (MD33788) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063436129

Entity TypeIndividualFemale

Primary Taxonomy208G00000X

Provider Legal NameDR. JENNIFER ELLISCredential: M.D.

Location Address530 1ST AVE STE 9VNew York, NY 10016-6402

Mailing Address530 1st Ave Ste 9vNew York, NY 10016-6402 · (212) 263-0692 · Fax (212) 263-2042

Phone(212) 263-0692

Fax(212) 263-2042

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateApril 6, 20233 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1063436129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in DC · MD33788

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

530 1ST AVE STE 9V, New York, NY 10016

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Other Identifiers 1

Medicaid039911400DC

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.

DR. STEPHANIE HILARY CHANG MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)