Organization Active NPI

Thomasena L Ellison MD PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1083859425
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1802491 Issued in NY
Legal business name
THOMASENA L ELLISON MD PC
Practice address
100 Livingston St
Suite 3
Brooklyn, NY 11201-5023
Phone
(718) 222-0393
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomasena L Ellison, MD
Title
Doctor
Phone
(718) 222-0393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 1802491 NY Primary

Addresses

Primary practice location

100 Livingston St
Suite 3
Brooklyn, NY 11201-5023

Mailing address

100 Livingston St
Suite 3
Brooklyn, NY 11201-5023
Phone (718) 222-0393

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1083859425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST",
            "address_2": "SUITE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015023",
            "telephone_number": "718-222-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LIVINGSTON ST",
            "address_2": "SUITE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015023",
            "telephone_number": "718-222-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASENA L ELLISON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "THOMASENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-222-0393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "1802491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.