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NICHOLAS ELLYN, M.D., P.C.
NPI 1306006614
Specialist in Alexandria, VA

Active since June 10, 2008
1707 OSAGE ST, SUITE 205, ALEXANDRIA, VA 22302(703) 578-0100(703) 824-8357 Get Directions Write a Review

NPPES record last updated: October 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Ellyn, M.d., P.c. NPPES

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

NICHOLAS ELLYN, M.D., P.C. (NPI 1306006614) is a healthcare organization registered as a specialist in Alexandria, Virginia and active in the NPI registry since June 2008. The organization lists Nicholas Ellyn, Physician, as its authorized official.

NPPES Registry Identity

NPI1306006614
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNICHOLAS ELLYN, M.D., P.C.
Location Address1707 OSAGE ST, SUITE 205Alexandria, VA 22302-2607
Mailing Address1707 Osage St, Suite 205Alexandria, VA 22302-2607 · (703) 578-0100 · Fax (703) 824-8357
Phone(703) 578-0100
Fax(703) 824-8357
Organization SubpartNo
Authorized OfficialNicholas EllynPhysician · (703) 578-0100
Enumeration DateJune 10, 2008
Last NPPES UpdateOctober 27, 2008
✔ NPI 1306006614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101027634
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.
1707 OSAGE ST, Alexandria, VA 22302
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Other Identifiers 4

Medicare UPINB93983VA
Medicaid6380883VA
Other1174626311Individual Npi
Medicare PIN170786ZA5JVA

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 12

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

DR. JAMES JOHN DONAHUE JR. DDS
Dentist
1707 OSAGE ST, STE 102
ALEXANDRIA, VA 22302
Alexandria City (703) 998-6558
KIMBERLY JO CARR LCSW
Social Worker (Clinical)
1707 OSAGE ST, 404
ALEXANDRIA, VA 22302
Alexandria City (703) 824-8248
NICHOLAS ELLYN M.D.
Ophthalmology
1707 OSAGE ST, SUITE 205
ALEXANDRIA, VA 22302
Alexandria City (703) 578-0100
DENNIS T. COZZENS, MD., LTD
Psychoanalyst
1707 OSAGE ST, SUITE 404
ALEXANDRIA, VA 22302
Alexandria City (703) 824-8248
FAMILY PSYCHIATRAIC ASSOCIATES
Social Worker (Clinical)
1707 OSAGE ST, SUITE 404
ALEXANDRIA, VA 22302
Alexandria City (703) 824-8248
GROVE DENTAL CLINIC
Dentist
1707 OSAGE ST, SUITE NUMBER 402
ALEXANDRIA, VA 22302
Alexandria City (703) 578-1700
DR. JEFFREY E. WONG M.D.
Urology
1707 OSAGE ST, SUITE 301
ALEXANDRIA, VA 22302
Alexandria City (703) 836-8010
MR. THOMAS J. KUNZIG L.C.S.W.
Social Worker (Clinical)
1707 OSAGE ST, SUITE 404
ALEXANDRIA, VA 22302
Alexandria City (703) 824-8248

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 Nicholas Ellyn, M.D., P.C.'s NPI number?

The NPI number for Nicholas Ellyn, M.D., P.C. is 1306006614. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Nicholas Ellyn, M.D., P.C. located?

Nicholas Ellyn, M.D., P.C. is located at 1707 Osage St Suite 205, Alexandria, VA 22302. The listed phone number is (703) 578-0100.

What is Nicholas Ellyn, M.D., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Nicholas Ellyn, M.D., P.C. was last updated on October 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.