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

Lori J Ellis, MD

Individual provider Pediatrics Physician · NPI 1467687756

Lori J Ellis, MD is a Pediatrics Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

260 E Middle Country Rd Ste 107
Smithtown, NY 11787-2982
Phone: (631) 979-7222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 264115 (NY)

Record details

NPI number1467687756
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2009
Last updated in NPPESMay 7, 2022
Certification dateMay 7, 2022
Mailing address260 E Middle Country Rd, Smithtown, NY 11787-2982

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