Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jennifer Ellis, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063436129

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Registry record

Entity type Individual (Type 1)

Name Dr. Jennifer Ellis

Credential M.D.

Sex Female

Practice address 530 1st Ave Ste 9v, New York, NY, 10016

Phone (212) 263-0692

Fax (212) 263-2042

Enumeration date Jul 26, 2006

Last updated in NPPES Apr 6, 2023

Taxonomy & licenses

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License MD33788 (DC) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
039911400	Medicaid	DC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jennifer Ellis practice?

The practice location on file with NPPES is in New York, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jennifer Ellis?

The National Provider Identifier (NPI) for Jennifer Ellis is 1063436129, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-06.