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DR. MICHAEL JOSEPH ELLIS D.O.
NPI 1972986693
Internal Medicine in Tinton Falls, NJ

Active since June 30, 2015PECOS Enrolled
4057 ASBURY AVE STE 21, TINTON FALLS, NJ 07753(848) 217-2662 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Dec 16, 2022, Jun 22, 2020 and 4 more (7 updates tracked since 2017).

About Dr. Michael Joseph Ellis D.o. NPPES

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

DR. MICHAEL JOSEPH ELLIS D.O. (NPI 1972986693) is an individual internal medicine provider in Tinton Falls, New Jersey, licensed in New Jersey (25MB10268400) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972986693
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JOSEPH ELLISCredential: D.O.
Location Address4057 ASBURY AVE STE 21Tinton Falls, NJ 07753-7700
Mailing Address4057 Asbury Ave Ste 21Tinton Falls, NJ 07753-7700 · (848) 217-2662 · Fax (516) 531-8869
Phone(848) 217-2662
Sole ProprietorYes
Enumeration DateJune 30, 2015
Last NPPES UpdateMay 7, 20257 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1972986693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MB10268400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 11671 (SD)
4057 ASBURY AVE STE 21, Tinton Falls, NJ 07753
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Ellis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

KEEP GLOWING MEDICAL SPA LLC
Internal Medicine
4057 ASBURY AVE STE 21
TINTON FALLS, NJ 07753
Monmouth County (848) 217-2662
KEEP GLOWING CT3
Internal Medicine
4057 ASBURY AVE STE 21
TINTON FALLS, NJ 07753
Monmouth County (848) 217-2662

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 Michael Ellis's NPI number?

The NPI number for Michael Ellis is 1972986693. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Michael Ellis located?

Michael Ellis practices at 4057 Asbury Ave Ste 21, Tinton Falls, NJ 07753. The listed phone number is (848) 217-2662.

What is Michael Ellis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Ellis enrolled in Medicare?

Yes. Michael Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Ellis was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.