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SCOTT JACOB ELLIS MD PLLC
NPI 1104424621
Orthopaedic Surgery - Foot and Ankle Surgery in New York, NY

Active since October 16, 2020
523 E 72ND ST FL 5, NEW YORK, NY 10021(646) 797-8305(646) 797-8515 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Jacob Ellis Md Pllc NPPES

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

SCOTT JACOB ELLIS MD PLLC (NPI 1104424621) is a healthcare organization registered as a foot and ankle surgery in New York, New York and active in the NPI registry since October 2020. The organization lists Scott Jacob Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1104424621
Entity TypeOrganization
Primary Taxonomy207XX0004X
Legal Business NameSCOTT JACOB ELLIS MD PLLC
Location Address523 E 72ND ST FL 5New York, NY 10021-4099
Mailing AddressPo Box 12184Hauppauge, NY 11788-0854
Phone(646) 797-8305
Fax(646) 797-8515
Organization SubpartNo
Authorized OfficialScott Jacob EllisPresident · (646) 797-8305
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
✔ NPI 1104424621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
Definition
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.
523 E 72ND ST FL 5, New York, NY 10021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CALEB JAESUNG YOO
Physician Assistant
523 E 72ND ST FL 5
NEW YORK, NY 10021
New York County (646) 797-8305
MISS SAMANTHA ANN SCARFOGLIERO
Physician Assistant (Surgical)
523 E 72ND ST FL 5
NEW YORK, NY 10021
New York County (212) 646-1940

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 Scott Jacob Ellis MD PLLC's NPI number?

The NPI number for Scott Jacob Ellis MD PLLC is 1104424621. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is Scott Jacob Ellis MD PLLC located?

Scott Jacob Ellis MD PLLC is located at 523 E 72nd St Fl 5, New York, NY 10021. The listed phone number is (646) 797-8305.

What is Scott Jacob Ellis MD PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

When was this NPI record last updated?

The NPPES record for Scott Jacob Ellis MD PLLC was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.