Jonathan Mark Ellen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME110221 Issued in FL

Practice address

7676 New Hampshire Ave Ste 220a
Takoma Park, MD 20912-7514

Phone

(240) 297-6758

NPI assigned

Jun 8, 2006

Last updated

Aug 12, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Temple University School of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Clinic, Inc.

  dba CCI Health Services

  • Federally Qualified Health Center (FQHC)
  • Takoma Park, MD
  • NPI 1790730281

  DC, Pediatrics

  Medicare reassignment NPD
• Labrador Health Inc

  dba Connections for Health

  • Case Management Agency
  • Chevy Chase, MD
  • NPI 1992320188
  NPD Authorized official
• Community Clinic, Inc

  dba CCI Ora Glen Pharmacy

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1295560878
  NPD
• Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gaithersburg, MD
  • NPI 1699817775

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1871533547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE STE 220A",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127514",
            "telephone_number": "240-297-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7676 NEW HAMPSHIRE AVE STE 220A",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127514",
            "telephone_number": "240-297-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEN",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D54679",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME110221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472901300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George C Ego-Osuala, MD., FACP
• Melanie Lynne Eisner, LCSW-C, LICSW
• Elise Eke Din
• Elaborate Home Health Care Services
• Elements in Motion, LLC (Elements In Motion)
• Ashley Ellis
• Brahim Elouardighi, MD
• Norton A Elson, MD
• Emmach Services, Inc. (Emmach Health Care)
• Evon Enjafu

• Pediatrics Physician in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.