Joshua Jay Ellenbogen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S01815 Issued in MD

Practice address

10339 Southern Maryland Blvd Ste 207
Dunkirk, MD 20754-3018

Phone

(410) 286-8330

Fax

(410) 286-8332

NPI assigned

Jul 7, 2006

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19122/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Pain and Spine Services, LLC

  • Interventional Pain Medicine Physician
  • Owings, MD
  • NPI 1053883231
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1578596458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207540351",
            "telephone_number": "410-286-8330",
            "fax_number": "410-286-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10339 SOUTHERN MARYLAND BLVD STE 207",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543018",
            "telephone_number": "410-286-8330",
            "fax_number": "410-286-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBOGEN",
        "first_name": "JOSHUA",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dunkirk Dental Specialists
• Dunkirk Optometry, LLC (MyEyeDr.)
• Dunkirk Specialist Care
• Dunkirk Volunteer Fire Dept. and Rescue Squad
• Jill Edgington, MPT
• Morella Isabel Ewell
• Eyes on You, LLC (Dunkirk Vision)
• Jessica Marie Farling, RDH
• Michael Fedorczyk, D.C.
• Barbara June Ferrenz, LCPC

• Chiropractor in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.