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

Scott Jacob Ellis MD PLLC

Organization Orthopaedic Foot and Ankle Surgery Physician · NPI 1104424621

Scott Jacob Ellis MD PLLC is an Orthopaedic Foot and Ankle Surgery Physician in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

523 E 72nd St Fl 5
New York, NY 10021-4099
Phone: (646) 797-8305
Fax: (646) 797-8515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Foot and Ankle Surgery Physician (primary) Taxonomy 207XX0004X

Record details

NPI number1104424621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Ellis — President · (646) 797-8305
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020
Mailing addressPo Box 12184, Hauppauge, NY 11788-0854

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