MEDICARE: ELLEN DEAN, MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XP3100X	Pediatric Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1841147329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLEN DEAN, MD, LLC

Provider Business Mailing Address
First Line	:	25 LINDSLEY DR STE 203
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4456
Country	:	US
Telephone Number	:	973-310-2603
Fax Number	:	973-310-2403

Provider Business Practice Location Address
First Line	:	25 LINDSLEY DR STE 203
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4456
Country	:	US
Telephone Number	:	973-310-2603
Fax Number	:	973-310-2403

Authorized Official
Title or Position	:	PEDIATRIC ORTHOPEDIC SURGEON, OWNER
Name	:	ELLEN DEAN
Credential	:	MD
Telephone Number	:	865-405-3326

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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