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

Individual provider Obstetrics & Gynecology Physician · NPI 1114000403

Thomasena L Ellison, MDFACOG is an Obstetrics/Gynecology in Brooklyn, New York. Graduated from Morehouse School of Medicine in 1988, 38 years ago. Practices with Mmc OB/GYN Faculty Practice Plan, a 32-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Trained at
Morehouse School of Medicine
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

100 Livingston Street 3rd Fl
Brooklyn, NY 11201
Phone: (718) 222-0393
Fax: (718) 222-3653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1802491 (NY)

Record details

NPI number1114000403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDFACOG
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 2, 2014

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Mmc Ob/Gyn Faculty Practice Plan — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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