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DR. ELLISA PEAN DO
NPI 1629863329
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 12, 2025
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-1984 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ellisa Pean Do NPPES

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

DR. ELLISA PEAN DO (NPI 1629863329) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1629863329
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELLISA PEANCredential: DO
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address250 Clarkson AveBrooklyn, NY 11226-2185
Phone(718) 270-1984
Sole ProprietorNo
Enumeration DateApril 12, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1629863329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 CLARKSON AVE, Brooklyn, NY 11203
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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. RICHARD J MACCHIA M.D.
Urology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-2554
DR. LOURDES C. ABRIGO M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. PETER G. BAUER M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. JEAN CHARCHAFLIEH M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. ALLEN COOPERSMITH M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. AUDREE BENDO M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. MARIANA F. FISHMAN M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126
DR. MYUNG S. LEE M.D.
Anesthesiology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3126

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 Ellisa Pean's NPI number?

The NPI number for Ellisa Pean is 1629863329. It was assigned to this individual provider in the NPPES registry on April 12, 2025.

Where is Ellisa Pean located?

Ellisa Pean practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-1984.

What is Ellisa Pean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellisa Pean was last updated on April 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.