Individual provider Active NPI

Sylvia M Ellis

  • Specialist
  • Bronx, NY
National Provider Identifier
1720903800
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3018719 Issued in NY
Practice address
4620 Richardson Ave
Bronx, NY 10470-1550
Phone
(347) 867-2163
NPI assigned
Aug 10, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3018719 NY Primary

Addresses

Primary practice location

4620 Richardson Ave
Bronx, NY 10470-1550

Mailing address

4620 Richardson Ave
Bronx, NY 10470-1550
Phone (347) 867-2163

Other practice location 1

4620 Richardson Ave
Bronx, NY 10470-1550
Phone (347) 867-2163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1720903800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 RICHARDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701550",
            "telephone_number": "347-867-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 RICHARDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701550",
            "telephone_number": "347-867-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4620 Richardson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104701550",
            "country_code": "US",
            "telephone_number": "347-867-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SYLVIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3018719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.