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

Dr. Jeffrey Ira Ellis, MD

Individual provider Dermatology Physician · NPI 1285748293

Dr. Jeffrey Ira Ellis, MD is a Dermatology in Hicksville, New York. Graduated from State University of New York Downstate Medical Center in 2002, 24 years ago. Practices with Belaray Dermatology PC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone: (516) 822-7546
Fax: (516) 937-7546
Show map & directions

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

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 234545-01 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 234545 (NY)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 234545 (NY)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 234545 (NY)

Record details

NPI number1285748293
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2002 (24 years in practice)
Group practice Belaray Dermatology Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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