Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Ellyn, MD, PC

Organization Specialist · NPI 1306006614

Nicholas Ellyn, MD, PC is a Specialist in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1707 Osage St Ste 205
Alexandria, VA 22302-2607
Phone: (703) 578-0100
Fax: (703) 824-8357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 0101027634 (VA)

Record details

NPI number1306006614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Ellyn — Physician · (703) 578-0100
NPI enumeratedJune 10, 2008
Last updated in NPPESOctober 27, 2008
Mailing address1707 Osage St, Suite 205, Alexandria, VA 22302-2607

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