DR. STEPHEN J. ELLIS (NPI# 1801831854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801831854 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN J. ELLIS |
| Credential | M.D. |
| Practice Address |
210 Jack Martin Blvd Suite D-1 Brick NJ 08724-7771 |
| Practice Telephone | 7324585067 |
| Practice Fax Number | 7324584962 |
| Mailing Telephone | 7324585067 |
| Mailing Fax Number | 7324584962 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA03904800 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE NUMBER | 390003718 | 01 | |
| NJ | 4871405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205993011 | Stephen Day Ellis | Social Worker | 313 S 16th St, Philadelphia, PA 19102-4908 | 2007-01-02 |
| 1679667208 | Stephen G Ellis | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-10-03 |
| 1215985676 | Stephen Winston Ellis | Physical Therapist | 40 S River Rd, Bedford Place - Unit 58, Bedford, NH 03110-6719 | 2006-05-05 |
| 1861455719 | Stephen Richard Ellis | Anesthesiology | 3300 Oak Lawn Avenue, Ste 200, Dallas, TX 75219-4265 | 2006-04-11 |
| 1275515314 | Stephen C. Ellis | Anesthesiology | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-11-15 |
| Street Address |
210 JACK MARTIN BLVD SUITE D-1 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942240429 | Winicjusz Palecki | Internal Medicine | 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 | 2006-06-07 |
| 1346640174 | Helen De La Cruz Olairez | Nurse Practitioner | 210 Jack Martin Blvd, Brick, NJ 08724-7771 | 2014-08-28 |
| 1972741957 | Ankit Prafulbhai Shah | Internal Medicine | 210 Jack Martin Blvd, Suite D 1, Brick, NJ 08724-7771 | 2009-01-28 |
| 1609804384 | Joseph V. Schirripa | Internal Medicine | 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 | 2006-06-29 |
| 1902842057 | Jin S. Park | Internal Medicine | 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 | 2006-06-20 |
| 1508801390 | Nadeem Z Haider | Internal Medicine | 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 | 2006-06-17 |
| 1659313963 | Daniel J Brouder | Internal Medicine | 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962768309 | Jennifer Lynn Andrews | Specialist | 99 Solar Dr, Brick, NJ 08724-3931 | 2012-04-10 |
| 1376789487 | Victor George Grosu | Specialist | 940 Cedar Bridge Ave Fl 1, Brick, NJ 08723-4170 | 2008-12-18 |
| 1265691786 | Mary E Buckley | Specialist | 514 Azalea Dr, Brick, NJ 08724-2732 | 2008-06-09 |
| 1922279710 | Monmouth Infectious Disease Associates, LLC | Specialist | 223 Drum Point Rd, Brick, NJ 08723-6311 | 2008-03-19 |
| 1740214204 | Ocean Renal Associates, P.a. | Specialist | 1617 Route 88 W, Suite D-1, Brick, NJ 08724-3010 | 2006-07-10 |
| 1275583072 | David Alan Schlisserman | Specialist | 202 Jack Martin Blvd, Brick, NJ 08724-7770 | 2006-05-11 |
| 1831166529 | Mitchel Benjamin Alpert | Specialist | 1623 Route 88 W, Brick, NJ 08723-3048 | 2006-03-02 |
| 1891767497 | Sung Kwon | Specialist | 425 Jack Martin Boulevard, Second Floor, Brick, NJ 08724 | 2006-02-07 |
| 1700861044 | Michael Joseph Pecoraro | Specialist | 450 Jack Martin Blvd, Brick, NJ 08724-7733 | 2005-12-09 |
| 1437154069 | Sunita Singh Mann | Specialist | 1608 Route 88 W, Ste 102, Brick, NJ 08724-3009 | 2005-06-20 |
| Find all providers in BRICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.