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

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1063436129

Dr. Jennifer Ellis, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York, New York. Licensed in District of Columbia. Registered with an NPI since 2006.

Licensed in
DC
In the registry since
2006
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

530 1st Ave Ste 9V
New York, NY 10016-6402
Phone: (212) 263-0692
Fax: (212) 263-2042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD33788 (DC)

Record details

NPI number1063436129
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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