John Joseph Ellwood, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046117 Issued in NY

Practice address

222 Merrick Ave
Merrick, NY 11566-3143

Phone

(516) 379-4444

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710199252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FOX LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252005",
            "telephone_number": "516-379-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663143",
            "telephone_number": "516-379-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott T Elberger, MD
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• Erica Elkin, PA
• Richard John Ellwood, D.D.S.
• Ema Medical, PC
• Erica Anand DDS PC
• Jessica Gissela Espinoza
• Jean Philippe Estimable, LPN, RRT

• General Practice Dentistry in Merrick, NY
• Providers in Merrick, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.