Dr Michael Joseph Ellis, DO | |
4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 | |
(848) 217-2662 | |
Not Available |
Full Name | Dr Michael Joseph Ellis |
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Gender | Male |
Speciality | Internal Medicine |
Location | 4057 Asbury Ave Ste 21, Tinton Falls, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972986693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 11671 (South Dakota) | Secondary |
207R00000X | Internal Medicine | 25MB10268400 (New Jersey) | Primary |
Entity Name | Keep Glowing Medical Spa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295447407 PECOS PAC ID: 4981075611 Enrollment ID: O20230117002025 |
Mailing Address | Practice Location Address |
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Dr Michael Joseph Ellis, DO 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 Ph: (848) 217-2662 | Dr Michael Joseph Ellis, DO 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753-7700 Ph: (848) 217-2662 |
Dr. Adil Manzoor, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 67 Apple St, Tinton Falls, NJ 07724 Phone: 732-314-7410 | |
Tong Karen Hao, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Essex Rd, Tinton Falls, NJ 07753 Phone: 732-643-2070 Fax: 732-643-2015 | |
Dr. David S Zukoff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 S Gilbert St, Tinton Falls, NJ 07701 Phone: 732-842-3050 Fax: 732-530-0730 | |
Cristian Vladu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 43 N Gilbert St Ste 5, Tinton Falls, NJ 07701 Phone: 732-988-3800 Fax: 732-988-3801 | |
William James Polvino, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Churchhill Downs Dr, Tinton Falls, NJ 07724 Phone: 732-389-1590 | |
Dr. Aristotelis E Vlahos, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 N Gilbert St, Tinton Falls, NJ 07701 Phone: 732-741-7400 Fax: 732-741-4775 | |
Dr. Rebekah Katherine Adamczyk, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Essex Rd, Tinton Falls, NJ 07753 Phone: 723-643-2070 Fax: 723-643-2015 |