Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nicholas Ellyn, MD, PC

Organization Specialist · NPI 1861715435

Nicholas Ellyn, MD, PC provides Specialist services in Alexandria, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
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

4660 Kenmore Ave Ste 416
Alexandria, VA 22304-1313 Not confirmed with CMS for 16 years — call before visiting
Phone: (703) 751-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (VA)

Record details

NPI number1861715435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Ellyn — Physician · (703) 578-0100
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 10, 2010
Mailing address1707 Osage St, Suite 205, Alexandria, VA 22302-2607

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