Dr. Stephen J Ellis, MD
Specialist in Brick, New Jersey
1801831854- Practice location
- 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771
- Phone
- 732-458-5067
- Fax
- 732-458-4962
- Last updated
- October 17, 2014
Stephen J. Ellis is a Specialist based in Brick, NJ. Stephen J. Ellis practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Stephen J. Ellis is 1801831854 and holds a License No. 25MA03904800 (NJ). The current practice location address for Stephen J. Ellis is 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771 and can be reached out via phone at 732-458-5067 and via fax at 732-458-4962.
Provider Profile Details
- NPI Number
- 1801831854
- Provider Name
- Stephen J. Ellis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771
- Phone Number
- 732-458-5067
- Fax Number
- 732-458-4962
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2006
- Last Update Date
- October 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 210 Jack Martin Blvd
Suite D-1
Brick, NJ 08724-7771 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7771
- Phone Number
- 732-458-5067
- Fax Number
- 732-458-4962
Provider Business Mailing Address Details
- Address
- 210 Jack Martin Blvd
Suite D-1
Brick, NJ 08724-7771 - City
- Brick
- State
- NJ
- Zip
- 08724-7771
- Phone Number
- 732-458-5067
- Fax Number
- 732-458-4962
License Information
- License Number
- 25MA03904800
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Brick, NJ
View all Specialists in Brick →Frequently Asked Questions
What is the NPI number of Dr. Stephen J Ellis, MD?
The NPI number of Dr. Stephen J Ellis, MD is 1801831854. It was assigned on June 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Stephen J Ellis, MD?
Dr. Stephen J Ellis, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA03904800.
Where does Dr. Stephen J Ellis, MD practice?
The practice location is 210 Jack Martin Blvd, Suite D-1, Brick, NJ 08724-7771. The office can be reached at 732-458-5067 (phone) or 732-458-4962 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801831854 directly on the NPPES registry website.