1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

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

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: July 26, 2026.

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

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
Open in Google Maps ↗

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)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0695
MADELINE RAE HOCKENBROCHT CPNP-AC
Nurse Practitioner (Acute Care)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-5989
AMIE JILL KENT
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0558
DR. LENA ELIZABETH TRAGER MD
Student in an Organized Health Care Education/Training Program
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (646) 501-0264
ELIAS A ZIAS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-8034
ELISABETH DIMITRATOS PA
Physician Assistant (Medical)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0702
MOLLY BECKER NP
Nurse Practitioner
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (646) 501-0197
ANTONIO CARLOS DA SILVA NP
Nurse Practitioner
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-7185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 530 1st Ave Ste 9V, New York, NY 10016. The listed phone number is (212) 263-0692.

What is Jennifer Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Ellis was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.