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DR. STEPHEN J. ELLIS M.D.
NPI 1801831854
Specialist in Brick, NJ

Active since June 16, 2006
210 JACK MARTIN BLVD, SUITE D-1, BRICK, NJ 08724(732) 458-5067(732) 458-4962 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen J. Ellis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN J. ELLIS M.D. (NPI 1801831854) is an individual specialist in Brick, New Jersey, licensed in New Jersey (25MA03904800) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1801831854
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. STEPHEN J. ELLISCredential: M.D.
Location Address210 JACK MARTIN BLVD, SUITE D-1Brick, NJ 08724-7771
Mailing Address210 Jack Martin Blvd, Suite D-1Brick, NJ 08724-7771 · (732) 458-5067 · Fax (732) 458-4962
Phone(732) 458-5067
Fax(732) 458-4962
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 17, 2014
✔ NPI 1801831854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA03904800
Definition
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.
210 JACK MARTIN BLVD, Brick, NJ 08724
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Other Identifiers 4

Medicare UPINE13556
Other390003718Railroad Medicare Number
Medicare PIN402358BSB
Medicaid4871405NJ

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HELEN DE LA CRUZ OLAIREZ APN
Nurse Practitioner (Adult Health)
210 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 458-5067
DR. NADEEM Z HAIDER MD
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D-1
BRICK, NJ 08724
Ocean County (732) 458-5854
DR. JOSEPH V. SCHIRRIPA M.D.
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D-1
BRICK, NJ 08724
Ocean County (732) 458-5854
DR. DANIEL J BROUDER MD
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D-1
BRICK, NJ 08724
Ocean County (732) 458-5067
DR. JIN S. PARK M.D.
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D-1
BRICK, NJ 08724
Ocean County (732) 458-5067
DR. WINICJUSZ PALECKI M.D.
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D-1
BRICK, NJ 08724
Ocean County (732) 458-5067
ANKIT PRAFULBHAI SHAH M.D.
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD, SUITE D 1
BRICK, NJ 08724
Ocean County (732) 458-5854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Ellis's NPI number?

The NPI number for Stephen Ellis is 1801831854. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Stephen Ellis located?

Stephen Ellis practices at 210 Jack Martin Blvd Suite D-1, Brick, NJ 08724. The listed phone number is (732) 458-5067.

What is Stephen Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephen Ellis was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.