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

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1659682219

Mark Kenneth Ellis, MD is an Emergency Medical Services (Emergency Medicine) Physician in New York, New York. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
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

2 5th Ave Apt 2D
New York, NY 10011-8832
Phone: (914) 393-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence R72186 (AZ)

Record details

NPI number1659682219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 2, 2014

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