NICHOLAS ELLYN, M.D., P.C.
NPI 1861715435
Specialist in Alexandria, VA

Q: What is Nicholas Ellyn, M.D., P.C.'s NPI number?

The NPI number for Nicholas Ellyn, M.D., P.C. is 1861715435. It was assigned to this organization in the NPPES registry on March 10, 2010.

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

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

Active since March 10, 2010

4660 KENMORE AVE, SUITE 416, ALEXANDRIA, VA 22304(703) 751-0700 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1861715435) is a healthcare organization registered as a specialist in Alexandria, Virginia and active in the NPI registry since March 2010. The organization lists Nicholas Ellyn, Physician, as its authorized official.

NPPES Registry Identity

NPI1861715435

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNICHOLAS ELLYN, M.D., P.C.

Location Address4660 KENMORE AVE, SUITE 416Alexandria, VA 22304-1313

Mailing Address1707 Osage St, Suite 205Alexandria, VA 22302-2607 · (703) 578-0100 · Fax (703) 824-8357

Phone(703) 751-0700

Organization SubpartNo

Authorized OfficialNicholas EllynPhysician · (703) 578-0100

Enumeration DateMarch 10, 2010

✔ NPI 1861715435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

4660 KENMORE AVE, Alexandria, VA 22304

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Other Identifiers 4

Medicaid6380883VA

Medicare PIN170786ZA5J

Medicare UPINB93983VA

Other1174626311Individual Npi

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 20

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

DR. KENNETH MICHAEL AHDOOT MD

Obstetrics & Gynecology

4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304

Alexandria City (703) 370-4300

STEFANO FRANCO AGOLINI

Surgery

4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304

Alexandria City (703) 823-4066

KELLY L COOPER PT

Physical Therapist

4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304

Alexandria City (703) 751-1008

NIYADELL, INC

Technician/Technologist (Optician)

4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304

Alexandria City (703) 751-2800

GEORGE W TAWIL MD

Urology

4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304

Alexandria City (703) 370-2132

COMPUTED TOMOGRAPHY ASSOCIATES

Radiology (Diagnostic Radiology)

4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304

Alexandria City (703) 824-3260

MS. GINA KARLIN HALDEMAN CNM

Nurse Practitioner (Obstetrics & Gynecology)

4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304

Alexandria City (703) 370-4300

DR. KRISTINA KATHLEEN HIBSHMAN M.D.

Obstetrics & Gynecology

4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304

Alexandria City (703) 370-0400

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 1861715435. It was assigned to this organization in the NPPES registry on March 10, 2010.

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

Nicholas Ellyn, M.D., P.C. is located at 4660 Kenmore Ave Suite 416, Alexandria, VA 22304. The listed phone number is (703) 751-0700.

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 March 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.