Ellis, Scott J.
Ellis, Scott J. is an individual health care provider with primary practice located at 535 E 70Th St , New York NY 10021-4823. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Ellis, Scott J. can be contacted via phone (646) 797-8305.Contact Information
Primary practice address
535 E 70Th St
New York NY 10021-4823
Phone: (646) 797-8305
Fax: (646) 797-8515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 230125 | New York |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 230125 | New York |
Profile Details
| NPI number | 1336359587 |
|---|---|
| LBN Legal business name | Ellis, Scott J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Mar 31st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336359587 | NPPES |
| New York | MEDICAID | 02859992 |
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