NPI 1003221037 · live from the CMS NPI Registry
John Ellis, D.O.
Emergency Medicine in Bronx, NY. National Provider Identifier 1003221037, active.
NPI record
| NPI | 1003221037 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 4422 Third Ave, Bronx, NY 10457 |
| Practice phone | 718-960-9000 |
| Mailing address | 6751 Eagle Ridge Blvd, Lakeland, FL 33813 |
| Enumerated | June 28, 2014 |
| Last updated | November 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 160849 (MT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine | 207P00000X | OS15644 (FL) |
| Emergency Medicine primary | 207P00000X | 22891 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.