Danielle I Ellis, MD
Surgery in Medford, Massachusetts
1740817469- Practice location
- 75 Riverside Ave Ste 4, Medford, MA 02155-4600
- Phone
- 781-396-8224
- Fax
- —
- Last updated
- August 26, 2026
Danielle Imani Ellis is a Surgery based in Medford, MA. Danielle Imani Ellis practices in Medford, MA and has the professional credentials of MD. The NPI Number for Danielle Imani Ellis is 1740817469 and holds a License No. 295571 (MA). The current practice location address for Danielle Imani Ellis is 75 Riverside Ave Ste 4, Medford, MA 02155-4600 and can be reached out via phone at 781-396-8224.
Provider Profile Details
- NPI Number
- 1740817469
- Provider Name
- Danielle Imani Ellis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Riverside Ave Ste 4, Medford, MA 02155-4600
- Phone Number
- 781-396-8224
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 24, 2020
- Last Update Date
- August 26, 2026
- Certification Date
- August 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Riverside Ave Ste 4
Medford, MA 02155-4600 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4600
- Phone Number
- 781-396-8224
Provider Business Mailing Address Details
- Address
- Po Box 24300
New York, NY 10087-4300 - City
- New York
- State
- NY
- Zip
- 10087-4300
- Phone Number
- 781-744-8771
License Information
- License Number (1)
- 295571
- License State (1)
- MA
- Taxonomy (1)
- Surgery · 208600000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Danielle I Ellis, MD?
The NPI number of Danielle I Ellis, MD is 1740817469. It was assigned on March 24, 2020 and is currently active in the NPPES registry.
What is the specialty of Danielle I Ellis, MD?
Danielle I Ellis, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 295571.
Where does Danielle I Ellis, MD practice?
The practice location is 75 Riverside Ave Ste 4, Medford, MA 02155-4600. The office can be reached at 781-396-8224 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740817469 directly on the NPPES registry website.