DR. EUGENE ELLIS MD
NPI 1194721142
Specialist in Brooklyn, NY

Active since June 23, 2005PECOS Enrolled
967 48TH ST, BROOKLYN, NY 11219(718) 283-3000(718) 238-6818 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eugene Ellis Md NPPES

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

DR. EUGENE ELLIS MD (NPI 1194721142) is an individual specialist in Brooklyn, New York, licensed in New York (136939-1) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194721142
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. EUGENE ELLISCredential: MD
Location Address967 48TH STBrooklyn, NY 11219-2919
Mailing Address967 48th StBrooklyn, NY 11219-2919 · (718) 283-3000 · Fax (718) 238-6818
Fax(718) 238-6818
Sole ProprietorNo
Enumeration DateJune 23, 2005
Last NPPES UpdateDecember 8, 2008
NPI 1194721142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 136939-1
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

967 48TH ST, Brooklyn, NY 11219

Other Identifiers 3

Medicare ID-Type Unspecified62A621NY
Medicare UPINB78347NY
Medicaid01862853NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eugene Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Midwife
967 48TH ST
BROOKLYN, NY 11219
Midwife
967 48TH ST
BROOKLYN, NY 11219
Specialist
967 48TH ST
BROOKLYN, NY 11219
Specialist
967 48TH ST
BROOKLYN, NY 11219
Specialist
967 48TH ST
BROOKLYN, NY 11219
Midwife
967 48TH ST
BROOKLYN, NY 11219
Midwife
967 48TH ST
BROOKLYN, NY 11219
Specialist
967 48TH ST
BROOKLYN, NY 11219

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 Eugene Ellis's NPI number?

The NPI number for Eugene Ellis is 1194721142. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Eugene Ellis located?

Eugene Ellis practices at 967 48th St, Brooklyn, NY 11219. The listed phone number is (718) 283-3000.

What is Eugene Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Eugene Ellis enrolled in Medicare?

Yes. Eugene Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eugene Ellis was last updated on December 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.