Scott Jacob Ellis MD PLLC

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

Legal business name

SCOTT JACOB ELLIS MD PLLC

Practice address

523 E 72ND St FL 5
New York, NY 10021-4099

Phone

(646) 797-8305

Fax

(646) 797-8515

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Jacob Ellis, MDNPI 1336359587

Title

President

Phone

(646) 797-8305

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott J. Ellis, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • New York, NY
  • NPI 1336359587
  NPD Authorized official
• Caleb Jaesung Yoo

  • Physician Assistant
  • New York, NY
  • NPI 1003705443
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1104424621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12184",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E 72ND ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214099",
            "telephone_number": "646-797-8305",
            "fax_number": "646-797-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT JACOB ELLIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-797-8305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott D. Zinberg, D.C. LLC
• Scott David Liff
• Scott H Hanan MD PC
• Scott Hammerman MD PC
• Scott J Zevon MD PC (Central Park Plastic Surgery)
• Scott K. Andrews, MD, PC
• Scott Opell
• Scott S Weissman, MD PC
• Scott W. Wolfe
• Vanda R. Scott-Johnston, D.P.M.

• Orthopaedic Foot and Ankle Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Orthopaedic Foot and Ankle Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.