Deandrea Ellis
Pediatrics | Female
Deandrea Ellis is a Montclair, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Deandrea Ellis is
1 Seymour Plaza, Montclair, New Jersey - 07042. She can be contacted on phone at
973-744-6939 and fax number 973-744-0365.
Deandrea Ellis is a sole proprietor of her business.
NPI number (Unique professional ID) for Deandrea Ellis is
1477057354 which was assigned by NPPES on 23 Mar, 2018 and it was last updated on 08 Nov, 2021.
Deandrea Ellis license number is
25MA11142900 for Pediatrics (208000000X) in New Jersey.
Deandrea Ellis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Deandrea Ellis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Deandrea Ellis |
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| Gender : | Female |
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Business Address:
Deandrea Ellis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Seymour Plaza
Montclair, NJ, 07042
United States |
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| Phone Number : | 973-744-6939 |
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| Fax Number : | 973-744-0365 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477057354 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2018 |
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| Last Updated On : | 08 Nov, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deandrea Ellis are as mentioned. Primary taxonomy code for Deandrea Ellis is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 25MA11142900 | NJ |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3959 BROADWAY,
NEW YORK, NY, 10032-1559
United States | NEW YORK, NY | 212-305-8504 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Diamond Hill Rd
Berkeley Heights, NJ, 07922-2104
United States |
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| Phone Number : | 908-273-4300 |
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Business Location:
Patients can refer following map for directions to
Deandrea Ellis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.