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

Dr. Jonathan Mark Ellen, MD

Individual provider Pediatrics Physician · NPI 1871533547

Dr. Jonathan Mark Ellen, MD is a Pediatric Medicine in Takoma Park, Maryland. Graduated from Temple University School of Medicine in 1988, 38 years ago. Licensed in Florida and Maryland.

Years since qualifying
38
Trained at
Temple University School of Medicine
Licensed in
FL, MD
In the registry since
2006
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

7676 New Hampshire Ave Ste 220A
Takoma Park, MD 20912-7514
Phone: (240) 297-6758
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME110221 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence D54679 (MD)

Record details

NPI number1871533547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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