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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN MARK ELLEN, MD

Active

DR. JONATHAN MARK ELLEN, MD is a Pediatrics healthcare provider located in TAKOMA PARK, Maryland. NPI 1871533547 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · TAKOMA PARK, MD

Registration Details

NPI Number
1871533547
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2006 (20.140496125795 yrs)
Last Updated
Aug 12, 2025
Licenses
D54679 (MD)
ME110221 (FL)

Practice Information

Address
7676 NEW HAMPSHIRE AVE STE 220A
TAKOMA PARK, MD, 209127514
Browse MD providers · Browse ZIP 20912
Phone
2402976758
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in TAKOMA PARK, MD

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.