MARY KRISTINE ELLIS (NPI# 1134447329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134447329 |
| Entity Type | Individual |
| Full Name | MARY KRISTINE ELLIS |
| Credential | M.D. |
| Practice Address |
5616 6th Ave Brooklyn NY 11220-3419 |
| Mailing Address |
230 W 17th St New York NY 10011-5325 |
| Practice Telephone | 7184395440 |
| Practice Fax Number | 7185679772 |
| Mailing Telephone | 2122065200 |
| Mailing Fax Number | 2122065279 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 277569 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME116438 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224996 | Mary Elizabeth Ellis | Physician Assistant | 1 Hospital Dr # 3400, Asheville, NC 28801-4550 | 2020-01-17 |
| 1720594088 | Mary Ellis | Student in an Organized Health Care Education/Training Program | 3533 Southern Blvd Ste 5200, Kettering, OH 45429-1275 | 2017-12-22 |
| 1730517293 | Mary Hannah Ellis | Counselor | 703 Copperline Dr, Unit 208, Chapel Hill, NC 27516-4488 | 2013-10-21 |
| 1295042869 | Mary Ann Ellis | Counselor | 20114 E Pennsylvania Ave, Dunnellon, FL 34432-6033 | 2010-09-02 |
| 1437486172 | Mary Ellis | Licensed Practical Nurse | 3073 Prosperity Ln, Columbus, OH 43231-8822 | 2009-11-17 |
| 1588816573 | Mary Louise Ellis | Pharmacist | 1327 Blue Ave, Zanesville, OH 43701-2403 | 2008-10-21 |
| 1821297300 | Mary Lucena Ellis | Speech-Language Pathologist | 2810 45th St, Rock Island, IL 61201-5860 | 2007-07-13 |
| 1437360872 | Mary Louise Ellis | Registered Nurse | 20094 Mission Blvd, Hayward, CA 94541-1237 | 2007-05-25 |
| 1003964131 | Mary Linda Ellis | Counselor | 2070 Buford Hwy, Ste 2-d, Buford, GA 30518-6079 | 2007-01-08 |
| 1982268231 | Mary Claire Ellis | Student in an Organized Health Care Education/Training Program | Duke University Hospital 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-04-23 |
| Street Address |
5616 6TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392856 | Juana Evangelista Hernandez | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220 | 2005-08-02 |
| 1154856623 | Nyu Hospitals Center | General Acute Care Hospital | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2017-04-21 |
| 1881032233 | Nicole Audrey Szabo | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2013-06-07 |
| 1851680581 | Quang Nguyen | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2011-04-04 |
| 1295054807 | Wei Zhou | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2010-05-21 |
| 1063741809 | Myint Myint Tin | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2009-12-07 |
| 1639358146 | Mon Mon Myint San | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2007-10-31 |
| 1487712949 | Sandra Sheedy | Physician Assistant | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2006-12-05 |
| 1801989058 | Orlando Freyre | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2006-10-02 |
| 1396856977 | Laura Jane Grady | Family Medicine | 5616 6th Ave, Brooklyn, NY 11220-3419 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782972 | Home Physician Assistant Services PC | Family Medicine | 2119 E 15th St Ste B1, Brooklyn, NY 11229-4376 | 2020-08-26 |
| 1932719044 | Sophie Miro Fortier | Family Medicine | 70 Washington St Apt 7j, Brooklyn, NY 11201-1466 | 2020-08-04 |
| 1598380701 | Imaduddin Hashmi Md Pllc | Family Medicine | 527 Coney Island Ave, Brooklyn, NY 11218-3466 | 2020-06-12 |
| 1932723053 | Cherysh Foster | Family Medicine | 299 Malcolm X Blvd, Brooklyn, NY 11233-3996 | 2020-06-04 |
| 1497377246 | Central Brooklyn Physician Pllc | Family Medicine | 387 Linden Blvd Fl 1, Brooklyn, NY 11203-2823 | 2020-05-15 |
| 1194350066 | Visavis Health Care Medical Group of Ny, Pllc | Family Medicine | 3923 Fort Hamilton Parkway, Brooklyn, NY 11218-1916 | 2020-03-11 |
| 1679106330 | Tanya Sereitha Morant | Family Medicine | 193 17th St, Brooklyn, NY 11215-6977 | 2020-02-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1043778038 | Carla Ylose Jean-baptiste | Family Medicine | 1000 E 98th St # 2, Brooklyn, NY 11236-2327 | 2019-03-08 |
| 1295201424 | Yente Chesny | Family Medicine | 1122 Chestnut Ave, Brooklyn, NY 11230-5844 | 2018-10-15 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on MARY KRISTINE ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.