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

Dr. Jason A. Ellis, MD

Individual provider Neurological Surgery Physician · NPI 1629244884

Dr. Jason A. Ellis, MD is a Neurosurgery in New York, New York. Graduated from Columbia University College of Physicians and Surgeons in 2009, 17 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New York.

Years since qualifying
17
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
GA, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 E 77th St Dept OF Neurosurgery Black Hall Third Fl
New York, NY 10075
Phone: (212) 434-3900
Fax: (212) 434-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 260313-1 (NY)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 75452 (GA)

Record details

NPI number1629244884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2009 (17 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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