Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Ellner, PA-C, MPAS

Individual provider Physician Assistant · NPI 1558786491

Mrs. Jennifer Ellner, PA-C, MPAS is a Physician Assistant in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 23017431 (NY)

Record details

NPI number1558786491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorYes
NPI enumeratedMarch 1, 2014
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022

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