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Contact Information

JASON A ELLIS, MD
130 EAST 77TH STREET
DEPT. OF NEUROSURGERY, BLACK HALL, THIRD FLOOR
NEW YORK, NY10075
 Phone: 212-434-3900
 Fax: 212-434-3899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON A ELLIS · (Male)

NPI # 1629244884
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 75452
  • NY License # 260313-1
Hospital affiliation(s)
  • LENOX HILL HOSPITAL - (Acute Care)
    100 EAST 77TH STREET
    NEW YORK, NY 10021
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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