What is Jack Ellenberg's NPI number?

Jack Ellenberg's National Provider Identifier (NPI) is 1790879013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Ellenberg's specialty?

Jack Ellenberg is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).

Where is Jack Ellenberg located?

Jack Ellenberg's practice location on file with NPPES is 239 Central Park W, New York, NY 10024-6038.

What is Jack Ellenberg's phone number?

The practice phone number listed in the NPPES registry for Jack Ellenberg is (212) 873-1291.

Is Jack Ellenberg's NPI active?

Yes — Jack Ellenberg's NPI (1790879013) is active in the NPPES registry as of the last update on 2012-08-31.

IndividualActive

Jack Ellenberg, MD

NPI 1790879013 · Psychiatry Physician · New York, NY

Jack Ellenberg, MD is a Psychiatry Physician provider in New York, NY (NPI 1790879013).

Provider details

NPI number: 1790879013
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 089526 (NY)

Specialties & taxonomies

Psychiatry PhysicianPrimary2084P0800XLicense 089526 (NY)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

239 Central Park W

New York, NY 10024-6038

Phone: (212) 873-1291

Fax: (212) 799-1136

Street-level locationGet directions

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Mailing address